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1700111218
MARIA TERASE EVANS
SAN DIEGO, CA
NPI
1700111218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306601721)
Enumeration Date
2009-10-16
Last Update Date
2009-10-16
Business Address
MRS. MARIA TERASE EVANS LPTA
10385 BORDELON ST
SAN DIEGO, CA 92124-3208
Phone number: 202-246-8809
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Mailing Address
MRS. MARIA TERASE EVANS LPTA
10385 BORDELON ST
SAN DIEGO, CA 92124-3208
Phone number: 540-209-6351
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