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Individual

JONATHAN TAYLOR MCGUFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH8284
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTH8284
PT LICENSE
AL
Enumeration date
01/09/2017
Last updated
01/09/2017
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