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1114462066
MICHAEL MAGGID
SANTA ROSA, CA
NPI
1114462066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA PTA3733)
Enumeration Date
2017-01-02
Last Update Date
2017-01-02
Business Address
Mr. MICHAEL MAGGID PTA
1455 RICHARDSON CT
SANTA ROSA, CA 95407-7488
Phone number: 707-762-3603
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Mailing Address
Mr. MICHAEL MAGGID PTA
1455 RICHARDSON CT
SANTA ROSA, CA 95407-7488
Phone number: 707-762-3603
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