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1376240911
ETHAN OSBORNE
COSTA MESA, CA
NPI
1376240911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA 303687)
Enumeration Date
2023-02-14
Last Update Date
2023-02-14
Business Address
ETHAN OSBORNE DPT, PT
2777 BRISTOL ST STE B
COSTA MESA, CA 92626-5997
Phone number: 949-250-1112
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Mailing Address
ETHAN OSBORNE DPT, PT
1433 SUPERIOR AVE APT 219
NEWPORT BEACH, CA 92663-6130
Phone number:
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