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1437525664
BUSTER PORTER
DAVIS, CA
NPI
1437525664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA CA17781)
Enumeration Date
2015-08-11
Last Update Date
2015-08-11
Business Address
-- BUSTER PORTER DPT
1 SHIELDS AVE
DAVIS, CA 95616-5270
Phone number: 530-752-2318
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Mailing Address
-- BUSTER PORTER DPT
1 SHIELDS AVE
DAVIS, CA 95616-5270
Phone number: 530-752-2318
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