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1205141074
EDAN M DEVORA
ANAHEIM, CA
NPI
1205141074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 36970)
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
-- EDAN M DEVORA D.P.T.
5475 E LA PALMA AVE 200
ANAHEIM, CA 92807-2075
Phone number: 714-701-0479
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Mailing Address
-- EDAN M DEVORA D.P.T.
293 N STATE COLLEGE BLVD APT 4058
ORANGE, CA 92868-5700
Phone number: 210-364-1493
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