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1548457609
NICHOLAS PAUL THEDERS
TUSTIN, CA
NPI
1548457609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT19359)
Enumeration Date
2007-10-02
Last Update Date
2010-12-08
Business Address
Mr. NICHOLAS PAUL THEDERS PT
365 W 1ST ST
TUSTIN, CA 92780-3108
Phone number: 714-544-5565
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Mailing Address
Mr. NICHOLAS PAUL THEDERS PT
365 W 1ST ST
TUSTIN, CA 92780-3108
Phone number: 714-544-5565
Copy
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