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1316226681
BRIAN TAYLOR CAMPBELL
POMONA, CA
NPI
1316226681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: CA COA00174)
Enumeration Date
2011-08-04
Last Update Date
2011-08-04
Business Address
BRIAN TAYLOR CAMPBELL COA
320 E BONITA AVE
POMONA, CA 91767-1926
Phone number: 909-621-1180
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Mailing Address
BRIAN TAYLOR CAMPBELL COA
320 E BONITA AVE
POMONA, CA 91767-1926
Phone number: 909-621-1180
Copy