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1083273361
MARANDA SMITH
SAN DIEGO, CA
NPI
1083273361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 295342)
Enumeration Date
2019-06-10
Last Update Date
2019-12-04
Business Address
MARANDA SMITH DPT
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5829
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Mailing Address
MARANDA SMITH DPT
2645 W CANYON AVE APT 444
SAN DIEGO, CA 92123-4700
Phone number: 530-306-9162
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