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1255545943
LISA IKUMA
STANFORD, CA
NPI
1255545943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 21532)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
-- LISA IKUMA MSPT
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-723-6701
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Mailing Address
-- LISA IKUMA MSPT
2123 BALMORAL CT
SAN MATEO, CA 94403-1739
Phone number:
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