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1306608955
GUSTAVO KENNEDY MARTINEZ
WALNUT CREEK, CA
NPI
1306608955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 6032)
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
GUSTAVO KENNEDY MARTINEZ PT, DPT
1975 TICE VALLEY BLVD
WALNUT CREEK, CA 94595-2201
Phone number: 580-649-4378
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Mailing Address
GUSTAVO KENNEDY MARTINEZ PT, DPT
303 W LIVEOAK ST
ALTUS, OK 73521-4227
Phone number: 580-649-4378
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