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1487616215
HEATHER MARIE CARRILLO
LA MESA, CA
NPI
1487616215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 28760)
Enumeration Date
2006-04-05
Last Update Date
2007-07-08
Business Address
-- HEATHER MARIE CARRILLO PT, ATC
5540 LAKE PARK WAY
LA MESA, CA 91942-1607
Phone number: 619-667-8644
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Mailing Address
-- HEATHER MARIE CARRILLO PT, ATC
1441 SANTA LUCIA RD #525
CHULA VISTA, CA 91913-1498
Phone number: 619-454-2958
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