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1093727794
MELISSA DEANNE DETHLOFF
SIMI VALLEY, CA
NPI
1093727794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT24002)
Enumeration Date
2006-08-12
Last Update Date
2008-03-19
Business Address
-- MELISSA DEANNE DETHLOFF MPT
2315 KUEHNER DR #115
SIMI VALLEY, CA 93063-3900
Phone number: 805-823-8200
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Mailing Address
-- MELISSA DEANNE DETHLOFF MPT
2315 KUEHNER DR #115
SIMI VALLEY, CA 93063-3900
Phone number: 805-823-8200
Copy
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