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1164182598
SALVATORE FANTANO
SAN DIEGO, CA
NPI
1164182598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT301422)
Enumeration Date
2021-12-27
Last Update Date
2021-12-27
Business Address
SALVATORE FANTANO PT, DPT
12395 EL CAMINO REAL STE 111
SAN DIEGO, CA 92130-3083
Phone number: 858-724-0392
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Mailing Address
SALVATORE FANTANO PT, DPT
12286 CREEKSIDE CT
SAN DIEGO, CA 92131-1552
Phone number: 480-467-9643
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