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1124834098
ALFRED THEODORE JACK NOWAK
LOS ANGELES, CA
NPI
1124834098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 307422)
Enumeration Date
2024-12-05
Last Update Date
2024-12-24
Business Address
ALFRED THEODORE JACK NOWAK PT, DPT
6801 PARK TER STE 200
LOS ANGELES, CA 90045-1546
Phone number: 310-665-7100
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Mailing Address
ALFRED THEODORE JACK NOWAK PT, DPT
2700 PETERSON PL APT 62B
COSTA MESA, CA 92626-5359
Phone number: 949-500-7122
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