RANDALL LEE GUSTAFSON

SAN DIEGO, CA
NPI1275518946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT11826)
Enumeration Date2005-12-14
Last Update Date2007-07-08
Business Address
-- RANDALL LEE GUSTAFSON PT
7510 CLAIREMONT MESA BLVD #103
SAN DIEGO, CA 92111
Phone number: 858-277-2277
Mailing Address
-- RANDALL LEE GUSTAFSON PT
5962 LA PLACE CT STE 170
CARLSBAD, CA 92008
Phone number: 800-929-4776
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