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1053017012
STEPHANIE VANDERVOORT
SAN DIEGO, CA
NPI
1053017012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 52363)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
STEPHANIE VANDERVOORT
3837 WABASH AVE
SAN DIEGO, CA 92104-3134
Phone number: 928-287-8857
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Mailing Address
STEPHANIE VANDERVOORT
3837 WABASH AVE
SAN DIEGO, CA 92104-3134
Phone number:
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