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1336677889
BRIAN R WHITE
SAN DIEGO, CA
NPI
1336677889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: CA 292798)
Enumeration Date
2017-05-29
Last Update Date
2017-05-29
Business Address
BRIAN R WHITE
3760 CONVOY ST STE 204
SAN DIEGO, CA 92111-3744
Phone number: 858-514-0375
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Mailing Address
BRIAN R WHITE
5880 LOCHMOOR DR APT 46
RIVERSIDE, CA 92507-8511
Phone number: 817-357-0702
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