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1114147055
ERIC STAFFORD PRANTE
LA MESA, CA
NPI
1114147055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT10428)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Mr. ERIC STAFFORD PRANTE PT
5360 JACKSON DR STE 110
LA MESA, CA 91942-3012
Phone number: 619-667-7000
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Mailing Address
Mr. ERIC STAFFORD PRANTE PT
5360 JACKSON DR STE 110
LA MESA, CA 91942-3012
Phone number: 619-667-7000
Copy
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