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1073739595
RICHARD CRISP
STOCKTON, CA
NPI
1073739595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 23961)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- RICHARD CRISP
1429 W FREMONT ST
STOCKTON, CA 95203-2627
Phone number: 209-546-0944
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Mailing Address
-- RICHARD CRISP
4 ROLLING PLACE CT
RIO VISTA, CA 94571-1445
Phone number:
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