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1144644618
AMANDA KLOKSTAD
SAN DIEGO, CA
NPI
1144644618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10138)
Enumeration Date
2014-02-04
Last Update Date
2014-02-04
Business Address
AMANDA KLOKSTAD
10642 WINCHECK RD
SAN DIEGO, CA 92131-3659
Phone number: 425-760-2876
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Mailing Address
AMANDA KLOKSTAD
10642 WINCHECK RD
SAN DIEGO, CA 92131-3659
Phone number:
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