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1427481902
IVAN DANIEL VICARIO
SANTA MONICA, CA
NPI
1427481902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 40409)
Enumeration Date
2013-08-20
Last Update Date
2013-08-26
Business Address
Dr. IVAN DANIEL VICARIO DPT
900 WILSHIRE BLVD 315
SANTA MONICA, CA 90401-1872
Phone number: 310-434-2400
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Mailing Address
Dr. IVAN DANIEL VICARIO DPT
900 WILSHIRE BLVD #315
SANTA MONICA, CA 90401-1872
Phone number: 858-342-8730
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