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Individual
JONATHAN DANIEL WHITTEN
Active
Individual
JONATHAN DANIEL WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C52190
SC
Other
Enumeration date
12/31/2018
Last updated
01/23/2023
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