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1437856481
TEODORICO VIANZON
GLENDALE, CA
NPI
1437856481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 48768)
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
Mr. TEODORICO VIANZON PTA
1208 S CENTRAL AVE
GLENDALE, CA 91204-2504
Phone number: 805-651-9686
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Mailing Address
Mr. TEODORICO VIANZON PTA
1208 S CENTRAL AVE
GLENDALE, CA 91204-2504
Phone number: 805-651-9686
Copy
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