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1194794032
REVITAL DUER
THOUSAND OAKS, CA
NPI
1194794032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT30187)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
-- REVITAL DUER PT
3366 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91362-3443
Phone number: 805-374-9900
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Mailing Address
-- REVITAL DUER PT
3366 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91362-3443
Phone number: 805-374-9900
Copy
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