RANDY SIBOLE

LANCASTER, CA
NPI1104215995
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT1130)
Enumeration Date2015-01-15
Last Update Date2015-01-15
Business Address
-- RANDY SIBOLE
3228 W AVENUE J3
LANCASTER, CA 93536-6184
Phone number: 661-942-5191
Mailing Address
-- RANDY SIBOLE
3228 W AVENUE J3
LANCASTER, CA 93536-6184
Phone number: 661-942-5191
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