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1184007049
MARITESS GONZALES GANZ
SAN LEANDRO, CA
NPI
1184007049
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Former Name
MARITESS MALLARI GONZALES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 38557)
Enumeration Date
2015-07-09
Last Update Date
2015-07-09
Business Address
-- MARITESS GONZALES GANZ PT
101 CALLAN AVE
SAN LEANDRO, CA 94577
Phone number: 510-357-4222
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Mailing Address
-- MARITESS GONZALES GANZ PT
3300 BOWMAN ST
PHILADELPHIA, PA 19129
Phone number: 505-414-8158
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