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1073392437
RYAN DWIGHT BRENEMAN
GLENDALE, CA
NPI
1073392437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT304035)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
RYAN DWIGHT BRENEMAN
411 S CENTRAL AVE
GLENDALE, CA 91204-1601
Phone number: 833-477-6878
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Mailing Address
RYAN DWIGHT BRENEMAN
411 S CENTRAL AVE
GLENDALE, CA 91204-1601
Phone number: 818-452-2722
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