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1225367899
SHIVAUN KATHLEEN CARTER
COSTA MESA, CA
NPI
1225367899
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Former Name
SHIVOGN DULEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT36220)
Enumeration Date
2009-12-10
Last Update Date
2010-07-19
Business Address
Dr. SHIVAUN KATHLEEN CARTER
2216 NEWPORT BLVD
COSTA MESA, CA 92627
Phone number: 949-631-9009
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Mailing Address
Dr. SHIVAUN KATHLEEN CARTER
2216 NEWPORT BLVD.
COSTA MESA, CA 92627
Phone number: 949-631-9009
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