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1417915034
DWIGHT ALAN PEACE
TURLOCK, CA
NPI
1417915034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT14033)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
DWIGHT ALAN PEACE PT
134 REGIS ST SUITE A
TURLOCK, CA 95382-1130
Phone number: 209-632-9965
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Mailing Address
DWIGHT ALAN PEACE PT
220 STANDIFORD AVE SUITE F
MODESTO, CA 95350-1159
Phone number: 209-579-5628
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