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Individual
JEFFREY D MANESE
Active
Individual
JEFFREY D MANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT20351
CA
363A00000X
Physician Assistant
Primary
PA 18366
CA
Other
Enumeration date
01/25/2007
Last updated
11/17/2007
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