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1649001033
MALISSA KEI SHADLE
GLENDALE, CA
NPI
1649001033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306540)
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
MALISSA KEI SHADLE DPT
425 E COLORADO ST STE 440
GLENDALE, CA 91205-1675
Phone number: 833-477-6878
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Mailing Address
MALISSA KEI SHADLE DPT
425 E COLORADO ST STE 440
GLENDALE, CA 91205-1675
Phone number: 833-477-6878
Copy
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