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Individual

JONATHAN DAVID GOLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
14425 YAZOO ST, SAN DIEGO, CA 92129-1633
(619) 865-0550
Mailing address
14425 YAZOO ST, SAN DIEGO, CA 92129-1633
(619) 865-0550

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9180
CA

Other

Enumeration date
09/27/2022
Last updated
09/27/2022
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