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1265455240
TRACE PATRIC POWER
IRVINE, CA
NPI
1265455240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 24357)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- TRACE PATRIC POWER PT
1 PETERS CANYON RD STE 120
IRVINE, CA 92606-1799
Phone number: 949-679-3988
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Mailing Address
-- TRACE PATRIC POWER PT
1 PETERS CANYON RD STE 120
IRVINE, CA 92606-1799
Phone number: 949-679-3988
Copy
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