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1194327882
GERVIN PRADO
SOLANA BEACH, CA
NPI
1194327882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 299425)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
GERVIN PRADO PT
380 STEVENS AVE STE 314
SOLANA BEACH, CA 92075-2069
Phone number: 858-755-5200
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Mailing Address
GERVIN PRADO PT
380 STEVENS AVE STE 314
SOLANA BEACH, CA 92075-2069
Phone number:
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