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1538642376
SHANE MICHAEL BRUNO
CASTRO VALLEY, CA
NPI
1538642376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 49357)
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
SHANE MICHAEL BRUNO PTA
20211 PATIO DR STE 205
CASTRO VALLEY, CA 94546-4338
Phone number: 510-537-3991
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Mailing Address
SHANE MICHAEL BRUNO PTA
7574 STONEDALE DR
PLEASANTON, CA 94588-3700
Phone number:
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