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1699109116
ALYSON RICHELE VASCONCELLOS
COSTA MESA, CA
NPI
1699109116
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Former Name
ALYSON RICHELE HOLD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 40380)
Enumeration Date
2013-09-03
Last Update Date
2017-02-20
Business Address
-- ALYSON RICHELE VASCONCELLOS DPT
2777 BRISTOL ST
COSTA MESA, CA 92626
Phone number: 949-250-1112
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Mailing Address
-- ALYSON RICHELE VASCONCELLOS DPT
2777 BRISTOL ST
COSTA MESA, CA 92626
Phone number: 949-250-1112
Copy
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