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1023136827
JACQUELINE M. SAM
WALNUT, CA
NPI
1023136827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT28709)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
MS. JACQUELINE M. SAM DPT
1346 MARQUETTE DR
WALNUT, CA 91789-1254
Phone number: 909-869-7929
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Mailing Address
MS. JACQUELINE M. SAM DPT
1346 MARQUETTE DR
WALNUT, CA 91789-1254
Phone number: 909-869-7929
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