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1144434622
STEVEN THOMAS VITALE
MODESTO, CA
NPI
1144434622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: CA CPO2516)
Enumeration Date
2007-05-10
Last Update Date
2007-07-09
Business Address
Mr. STEVEN THOMAS VITALE C.P.O.
1005 W ORANGEBURG AVE STE A
MODESTO, CA 95350-4163
Phone number: 209-575-1063
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Mailing Address
Mr. STEVEN THOMAS VITALE C.P.O.
1005 W ORANGEBURG AVE STE A
MODESTO, CA 95350-4163
Phone number: 209-575-1063
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