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Individual

MR. JON KEVIN GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-2112
Mailing address
6542 HILLGROVE DR, SAN DIEGO, CA 92120-4828
(619) 583-9971

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
15994
CA

Other

Enumeration date
06/25/2007
Last updated
07/08/2007
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