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1679015994
IVY GRACE COLBERT
ESCONDIDO, CA
NPI
1679015994
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Former Name
IVY GRACE ORLINA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT292158)
Enumeration Date
2016-11-17
Last Update Date
2018-10-08
Business Address
IVY GRACE COLBERT D.P.T.
457 N ELM STREET
ESCONDIDO, CA 92025-3001
Phone number: 760-489-1969
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Mailing Address
IVY GRACE COLBERT D.P.T.
457 N ELM STREET
ESCONDIDO, CA 92025-3001
Phone number: 760-489-1969
Copy
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