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1629532320
GREGORY RICHARD WIEGERS
FRESNO, CA
NPI
1629532320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 48456)
Enumeration Date
2019-01-27
Last Update Date
2019-01-27
Business Address
Mr. GREGORY RICHARD WIEGERS PTA
1665 M ST
FRESNO, CA 93721-1121
Phone number: 559-268-5361
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Mailing Address
Mr. GREGORY RICHARD WIEGERS PTA
1665 M ST
FRESNO, CA 93721-1121
Phone number:
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