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1235709411
STEPHEN GANT
RIVERSIDE, CA
NPI
1235709411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 300232)
Enumeration Date
2021-06-29
Last Update Date
2021-06-29
Business Address
STEPHEN GANT DPT
1760 CHICAGO AVE STE J3
RIVERSIDE, CA 92507-2358
Phone number: 951-781-2200
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Mailing Address
STEPHEN GANT DPT
6974 CARMELA WAY
FONTANA, CA 92336-1491
Phone number: 443-315-6599
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