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1043856917
DARREN DALISAY
SAN DIEGO, CA
NPI
1043856917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA PTA48136)
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
DARREN DALISAY PTA
4435 EASTGATE MALL STE 120
SAN DIEGO, CA 92121-1980
Phone number: 858-587-8669
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Mailing Address
DARREN DALISAY PTA
12849 SHADY OAK CT
POWAY, CA 92064-6053
Phone number: 619-913-2048
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