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Individual
MR. JONATHAN AUGUST
Active
Individual
MR. JONATHAN AUGUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, ATC, HHC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13179
MA
225100000X
Physical Therapist
Primary
19506
NY
2255A2300X
Athletic Trainer
089502397
MA
Other
Enumeration date
12/06/2009
Last updated
12/06/2009
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