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1407017999
DORYNE JOELE WILLMS COSGROVE
BAKERSFIELD, CA
NPI
1407017999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 4783)
Enumeration Date
2008-06-18
Last Update Date
2008-06-18
Business Address
Mrs. DORYNE JOELE WILLMS COSGROVE PTA
2211 MOUNT VERNON AVE
BAKERSFIELD, CA 93306-3309
Phone number: 661-872-2121
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Mailing Address
Mrs. DORYNE JOELE WILLMS COSGROVE PTA
2211 MOUNT VERNON AVE
BAKERSFIELD, CA 93306-3309
Phone number: 661-872-2121
Copy
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