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1104997212
FRANK FOGAL
MODESTO, CA
NPI
1104997212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 21525)
Enumeration Date
2006-11-11
Last Update Date
2007-07-08
Business Address
-- FRANK FOGAL PT
1524 MCHENRY AVE STE 500
MODESTO, CA 95350-4568
Phone number: 209-575-5801
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Mailing Address
-- FRANK FOGAL PT
2609 BEATRICE LN
MODESTO, CA 95355-9369
Phone number: 209-551-3820
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