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1962749317
JONATHON IVAN KRUSE
AUGUSTA, GA
NPI
1962749317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT010699)
Enumeration Date
2013-01-04
Last Update Date
2013-01-04
Business Address
DR. JONATHON IVAN KRUSE DPT
1 FREEDOM WAY PT GYM 1G127
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
DR. JONATHON IVAN KRUSE DPT
1 FREEDOM WAY PT GYM 1G127
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
Copy
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