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1174869226
KATHLEEN ANNE NISHIMOTO
SANTA ROSA, CA
NPI
1174869226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 35268)
Enumeration Date
2012-12-18
Last Update Date
2014-08-11
Business Address
-- KATHLEEN ANNE NISHIMOTO
2665A DUTTON MDW
SANTA ROSA, CA 95407-7730
Phone number: 707-565-8188
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Mailing Address
-- KATHLEEN ANNE NISHIMOTO
28 8TH ST
PETALUMA, CA 94952-4077
Phone number:
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