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1225301468
OMAR ESTRADA
FRESNO, CA
NPI
1225301468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT 6244)
Enumeration Date
2012-02-20
Last Update Date
2012-02-20
Business Address
-- OMAR ESTRADA PTA
4642 E MADISON AVE
FRESNO, CA 93702-1607
Phone number: 559-363-6627
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Mailing Address
-- OMAR ESTRADA PTA
4642 E MADISON AVE
FRESNO, CA 93702-1607
Phone number:
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