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Individual

JASON CHARLES HORRAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
630 6TH ST, NEVADA, IA 50201
(515) 382-7008
(515) 382-7171
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03069
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23492
BLUE CROSS ALT
IA
01
23496
BC BS GR & MADRID
IA
01
36590
BCBS IND
IA
Enumeration date
05/03/2006
Last updated
07/08/2007
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