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1457895633
MICHAEL ITO
COSTA MESA, CA
NPI
1457895633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT292464)
Enumeration Date
2016-12-07
Last Update Date
2021-12-29
Business Address
MICHAEL ITO PT
2863 SERANG PL
COSTA MESA, CA 92626-4826
Phone number: 949-439-5344
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Mailing Address
MICHAEL ITO PT
2863 SERANG PL
COSTA MESA, CA 92626-4826
Phone number:
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