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1346638707
BRENT WILD
REDLANDS, CA
NPI
1346638707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 42104)
Enumeration Date
2015-01-07
Last Update Date
2022-03-07
Business Address
DR. BRENT WILD DPT
2079 ORANGE TREE LN
REDLANDS, CA 92374-2849
Phone number: 909-435-5729
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Mailing Address
DR. BRENT WILD DPT
2079 ORANGE TREE LN
REDLANDS, CA 92374-2849
Phone number: 909-435-5729
Copy
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