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Individual
JONATHAN SCOTT
Active
Individual
JONATHAN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
19382
OR
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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