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1164509907
SHEILLA VIDAL
OAKLAND, CA
NPI
1164509907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 27339)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Miss SHEILLA VIDAL PT
4266 BROADWAY
OAKLAND, CA 94611-5130
Phone number: 510-655-3060
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Mailing Address
Miss SHEILLA VIDAL PT
4266 BROADWAY
OAKLAND, CA 94611-5130
Phone number: 510-655-3060
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