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1275795536
WALTER T FULA
MILWAUKIE, OR
NPI
1275795536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT18285)
Enumeration Date
2008-06-27
Last Update Date
2018-08-30
Business Address
Mr. WALTER T FULA P.T.
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Phone number: 972-250-5700
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Mailing Address
Mr. WALTER T FULA P.T.
1229 BRIGHTON AVE APT 263
MODESTO, CA 95355-6105
Phone number: 209-572-4675
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