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Individual

JAMES JOHN ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, LMT

Contact information

Practice address
259 N 2ND ST, SOUDERTON, PA 18964-1409
(267) 475-7013
Mailing address
303 CONTINENTAL DR, HARLEYSVILLE, PA 19438-3933

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN576521
PA
225700000X
Massage Therapist
Primary
MSG008155
PA

Other

Enumeration date
12/27/2018
Last updated
12/27/2018
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