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1558065961
KEVIN CHARLES TEAGUE
SACRAMENTO, CA
NPI
1558065961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT302279)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
-- KEVIN CHARLES TEAGUE PT, DPT
6254 66TH AVE
SACRAMENTO, CA 95823-2733
Phone number: 916-392-4440
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Mailing Address
-- KEVIN CHARLES TEAGUE PT, DPT
313 10TH ST
SACRAMENTO, CA 95814-0978
Phone number: 559-905-5778
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