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Individual
JONAS SEEBERG
Active
Individual
JONAS SEEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OH000206
PA
224P00000X
Prosthetist
Primary
PO000144
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011103100
—
MD
Enumeration date
04/13/2017
Last updated
04/13/2017
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