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1134285703
SARA ANN WILDERMUTH
SACRAMENTO, CA
NPI
1134285703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 19026)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Mrs. SARA ANN WILDERMUTH M.PT
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-688-2906
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Mailing Address
Mrs. SARA ANN WILDERMUTH M.PT
9273 FABIUS CT
ELK GROVE, CA 95758-4070
Phone number: 916-683-1058
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