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1063461101
DAVID C BOUTELLE
CARLSBAD, CA
NPI
1063461101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 12422)
Enumeration Date
2006-05-08
Last Update Date
2022-08-30
Business Address
Mr. DAVID C BOUTELLE P.T.
3070 MADISON ST
CARLSBAD, CA 92008-2310
Phone number: 760-591-7750
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Mailing Address
Mr. DAVID C BOUTELLE P.T.
3070 MADISON ST
CARLSBAD, CA 92008-2310
Phone number: 760-591-7750
Copy
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