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1699973594
JACK L TISOR
ANAHEIM, CA
NPI
1699973594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT05812)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- JACK L TISOR PT
411 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800
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Mailing Address
-- JACK L TISOR PT
393 E WALNUT ST 3RD FLOOR - PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 626-405-7914
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