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Individual
JEFFREY MARVIN JUE
Active
Individual
JEFFREY MARVIN JUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT295010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT295010
CALIFORNIA PT LICENSE
CA
Enumeration date
06/29/2018
Last updated
02/20/2019
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