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1215180559
MARK ECKERT
SAN DIEGO, CA
NPI
1215180559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 8844)
Enumeration Date
2008-10-30
Last Update Date
2008-10-30
Business Address
MARK ECKERT
4405 60TH ST
SAN DIEGO, CA 92115-5442
Phone number: 619-583-2199
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Mailing Address
MARK ECKERT
4405 60TH ST
SAN DIEGO, CA 92115-5442
Phone number: 619-583-2199
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