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Individual
GREGORY JUE
Active
Individual
GREGORY JUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18477
PT LICENSE
CA
01
—
W17215C
PTAN
CA
Enumeration date
10/13/2006
Last updated
07/19/2021
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