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1194876839
IDA L CORYELL HIRST
PLEASANTON, CA
NPI
1194876839
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Former Name
IDA LOUISE HIRST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT13904)
Enumeration Date
2007-01-16
Last Update Date
2016-11-29
Business Address
-- IDA L CORYELL HIRST P.T.
3908 VALLEY AVE STE. B
PLEASANTON, CA 94566-4872
Phone number: 925-417-8005
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Mailing Address
-- IDA L CORYELL HIRST P.T.
3908 VALLEY AVE. STE. B
PLEASANTON, CA 94566
Phone number: 925-417-8005
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