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1326369125
TIMOTHY MARVIN WITHERSPOON
LONG BEACH, CA
NPI
1326369125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
-- TIMOTHY MARVIN WITHERSPOON
2931 REDONDO AVE
LONG BEACH, CA 90806-2445
Phone number: 562-490-7600
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Mailing Address
-- TIMOTHY MARVIN WITHERSPOON
1030 SUNBEAM LN
CORONA, CA 92881-8765
Phone number:
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