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Individual
JORDAN LUCIO CABRERA
Active
Individual
JORDAN LUCIO CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, NCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
60417405
WA
2251N0400X
Neurology Physical Therapist
Primary
60417405
WA
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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