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1124205125
BRODIE GLEN AULD
SAN DIEGO, CA
NPI
1124205125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT13675)
Enumeration Date
2008-01-22
Last Update Date
2013-02-15
Business Address
Mr. BRODIE GLEN AULD PT
4655 RUFFNER ST SUITE 270
SAN DIEGO, CA 92177
Phone number: 800-787-6787
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Mailing Address
Mr. BRODIE GLEN AULD PT
1045 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-2464
Phone number: 510-213-2700
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