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Individual
JONATHAN LEE VORNDRAN
Active
Individual
JONATHAN LEE VORNDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1281045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364773701
—
TX
01
—
8ABG94
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/14/2016
Last updated
12/27/2016
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