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1205291705
NICHOLAS COSTAS PROEN
FRESNO, CA
NPI
1205291705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA 43401)
Enumeration Date
2015-12-28
Last Update Date
2015-12-28
Business Address
Dr. NICHOLAS COSTAS PROEN P.T., D.P.T.
1700 E BULLARD AVE SUITE #102
FRESNO, CA 93710-5866
Phone number: 559-438-8531
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Mailing Address
Dr. NICHOLAS COSTAS PROEN P.T., D.P.T.
1700 E BULLARD AVE SUITE #102
FRESNO, CA 93710-5866
Phone number: 559-438-8531
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