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1043789456
MARK ADAM NITAKE
TORRANCE, CA
NPI
1043789456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
MARK ADAM NITAKE DPT
4720 BULOVA ST
TORRANCE, CA 90503-1468
Phone number: 310-947-2204
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Mailing Address
MARK ADAM NITAKE DPT
4720 BULOVA ST
TORRANCE, CA 90503-1468
Phone number: 131-094-7220
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