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1053505164
ANNIE KANNENPLA VERGHESE
SACRAMENTO, CA
NPI
1053505164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 18310)
Enumeration Date
2007-08-31
Last Update Date
2007-08-31
Business Address
-- ANNIE KANNENPLA VERGHESE
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-7248
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Mailing Address
-- ANNIE KANNENPLA VERGHESE
233 BRIGGS RANCH DR
FOLSOM, CA 95630-5269
Phone number: 626-807-7906
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