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1457818064
MIKE FORD
NORTHRIDGE, CA
NPI
1457818064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 49788)
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
MIKE FORD
11225 TAMPA AVE
NORTHRIDGE, CA 91326-1610
Phone number: 818-363-9970
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Mailing Address
MIKE FORD
25115 AVENUE STANFORD STE B135
VALENCIA, CA 91355-1290
Phone number: 661-250-9940
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