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Individual
JOREL DE LOS SANTOS
Active
Individual
JOREL DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
GA006263
GA
225100000X
Physical Therapist
Primary
PT11101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT006263
STATE
GA
01
—
PT11101
STATE
FL
Enumeration date
04/11/2008
Last updated
04/11/2008
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