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Individual
MR. JAY JOSEPH ABANDO REYNOSO
Active
Individual
MR. JAY JOSEPH ABANDO REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009218
CT
225100000X
Physical Therapist
Primary
24491
MD
225100000X
Physical Therapist
J1-0002942
DE
Other
Enumeration date
12/27/2012
Last updated
06/16/2016
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