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1043415060
JERROLD TRENT BARCLAY
SAN DIEGO, CA
NPI
1043415060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 22940)
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
MR. JERROLD TRENT BARCLAY
4510 VIEWRIDGE AVE
SAN DIEGO, CA 92123-1637
Phone number: 858-502-1350
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Mailing Address
MR. JERROLD TRENT BARCLAY
1305 # F CAMINITO GABALDON
SAN DIEGO, CA 92108
Phone number: 619-297-4591
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