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1215395835
JOHNNY LY
STOCKTON, CA
NPI
1215395835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 291136)
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
-- JOHNNY LY PT, DPT
1716 W HAMMER LN
STOCKTON, CA 95209-2922
Phone number: 209-473-2383
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Mailing Address
-- JOHNNY LY PT, DPT
1106 WALNUT ST SUITE 110
SAN LUIS OBISPO, CA 93401-2416
Phone number: 805-540-4359
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