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1356852495
COLLEN EDWARD WOOTEN
SAN DIEGO, CA
NPI
1356852495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 293640)
Enumeration Date
2017-10-17
Last Update Date
2017-10-17
Business Address
Dr. COLLEN EDWARD WOOTEN PT, DPT
3200 4TH AVE
SAN DIEGO, CA 92103-5716
Phone number: 260-414-2109
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Mailing Address
Dr. COLLEN EDWARD WOOTEN PT, DPT
3220 TYLER ST
CARLSBAD, CA 92008-3053
Phone number: 260-414-2109
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