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1497896054
MARK BOONE ALLEN
IRVINE, CA
NPI
1497896054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT22591)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
-- MARK BOONE ALLEN MPT
15825 LAGUNA CANYON RD STE 103
IRVINE, CA 92618-2126
Phone number: 949-861-4108
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Mailing Address
-- MARK BOONE ALLEN MPT
4100 SAN ANTONIO RD
YORBA LINDA, CA 92886-7811
Phone number: 949-470-0303
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