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1104509850
ALEXIA KATE AGAMATA
COSTA MESA, CA
NPI
1104509850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304407)
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
ALEXIA KATE AGAMATA PT, DPT, CSCS
2075 NEWPORT BLVD STE 107
COSTA MESA, CA 92627-2179
Phone number: 949-836-5239
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Mailing Address
ALEXIA KATE AGAMATA PT, DPT, CSCS
27 HAWKSMOOR
ALISO VIEJO, CA 92656-1536
Phone number: 949-351-3008
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