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1164904439
MICHAEL VITALEZ MELGAR
ANAHEIM, CA
NPI
1164904439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 32111)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
MICHAEL VITALEZ MELGAR
501 S BEACH BLVD
ANAHEIM, CA 92804-1810
Phone number: 714-816-0540
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Mailing Address
MICHAEL VITALEZ MELGAR
7221 MONROE AVE
BUENA PARK, CA 90620-3827
Phone number:
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