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1124194618
BASSAM HANNAWAY
REDLANDS, CA
NPI
1124194618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT25186)
Enumeration Date
2006-11-27
Last Update Date
2008-09-17
Business Address
-- BASSAM HANNAWAY MPT
1901 W LUGONIA AVE STE 130
REDLANDS, CA 92374-9704
Phone number: 909-557-1600
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Mailing Address
-- BASSAM HANNAWAY MPT
PO BOX 8520
REDLANDS, CA 92375-1720
Phone number: 909-557-1600
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