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1235249004
JERRY CRAIG DURHAM
SAN FRANCISCO, CA
NPI
1235249004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT190390)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- JERRY CRAIG DURHAM MPT
3727 BUCHANAN ST #205
SAN FRANCISCO, CA 94123
Phone number: 415-509-3986
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Mailing Address
-- JERRY CRAIG DURHAM MPT
6957 SARONI DR
OAKLAND, CA 94611
Phone number: 415-509-3986
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