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1932217171
JONATHAN LEEDS COSTA
BRENTWOOD, TN
NPI
1932217171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: PA MD061822L)
Enumeration Date
2006-08-28
Last Update Date
2015-08-03
Business Address
Dr. JONATHAN LEEDS COSTA MD
3 TORREY PINES WAY
BRENTWOOD, TN 37027-8945
Phone number: 814-882-8936
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Mailing Address
Dr. JONATHAN LEEDS COSTA MD
3 TORREY PINES WAY
BRENTWOOD, TN 37027-8945
Phone number:
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