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1043833619
TIM SHRIDE
SACRAMENTO, CA
NPI
1043833619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
TIM SHRIDE
3800 WATT AVE STE 151
SACRAMENTO, CA 95821-2688
Phone number: 916-482-1535
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Mailing Address
TIM SHRIDE
10717 126TH PL NE
KIRKLAND, WA 98033-4756
Phone number:
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