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Individual
JENNIFER LYNN SOBAJIAN
Active
Individual
JENNIFER LYNN SOBAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 23672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BM819Y
MEDICARE PTAN
CA
Enumeration date
05/05/2006
Last updated
04/27/2015
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