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1104425446
WOODY SOMVICHAI
CHULA VISTA, CA
NPI
1104425446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 299434)
Enumeration Date
2020-10-19
Last Update Date
2021-06-08
Business Address
WOODY SOMVICHAI DPT
1020 TIERRA DEL REY STE A1
CHULA VISTA, CA 91910-7886
Phone number: 619-585-7104
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Mailing Address
WOODY SOMVICHAI DPT
1020 TIERRA DEL REY STE A1
CHULA VISTA, CA 91910-7886
Phone number:
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