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1013417393
JUSTIN MICHAEL TEGERSTRAND
REDDING, CA
NPI
1013417393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2018-02-13
Last Update Date
2021-06-30
Business Address
MR. JUSTIN MICHAEL TEGERSTRAND CPO
2102 CIVIC CENTER DR
REDDING, CA 96001-2704
Phone number: 530-241-4040
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Mailing Address
MR. JUSTIN MICHAEL TEGERSTRAND CPO
2102 CIVIC CENTER DR
REDDING, CA 96001-2704
Phone number: 530-241-4040
Copy
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