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Individual

JASON S LANGFORD

Active
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Individual

JASON S LANGFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103375
KS
225100000X
Physical Therapist
2014023790
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37252038
BCBS KC
01
KA2868037
MEDICARE PTAN
KS
01
MA4370086
MEDICARE PTAN
MO
01
USES NPI
BCBS-KANSAS
KS
Enumeration date
08/08/2006
Last updated
08/27/2014
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