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1346904828
CODY SHIMABUKURO
FONTANA, CA
NPI
1346904828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT297046)
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
CODY SHIMABUKURO DPT
8545 SIERRA AVE
FONTANA, CA 92335-3868
Phone number: 909-365-3557
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Mailing Address
CODY SHIMABUKURO DPT
8545 SIERRA AVE
FONTANA, CA 92335-3868
Phone number: 909-365-3557
Copy
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