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1528553864
BRENT A TALLEY
ORANGE, CA
NPI
1528553864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 294986)
Enumeration Date
2018-06-28
Last Update Date
2024-05-13
Business Address
BRENT A TALLEY DPT
871 S TUSTIN ST
ORANGE, CA 92866-3426
Phone number: 714-633-7227
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Mailing Address
BRENT A TALLEY DPT
871 S TUSTIN ST
ORANGE, CA 92866-3426
Phone number: 408-841-6777
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