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1316198591
JOHANNA MICHELLE VALLE
SACRAMENTO, CA
NPI
1316198591
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Former Name
JOHANNA MICHELLE LARSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 35081)
Enumeration Date
2008-10-06
Last Update Date
2013-02-11
Business Address
-- JOHANNA MICHELLE VALLE PT
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2011
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Mailing Address
-- JOHANNA MICHELLE VALLE PT
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2011
Copy
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