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1700432101
MITCHELL VANDEL-HOLM
SAN MARCOS, CA
NPI
1700432101
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Former Name
MITCHELL VANDEL
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT300190)
Enumeration Date
2019-08-13
Last Update Date
2021-11-03
Business Address
MITCHELL VANDEL-HOLM PT, DPT, ATC, CSCS
1482 LA MIRADA DR
SAN MARCOS, CA 92078-2414
Phone number: 760-704-7000
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Mailing Address
MITCHELL VANDEL-HOLM PT, DPT, ATC, CSCS
3542 SEAWARD CIR APT 310
OCEANSIDE, CA 92056-5235
Phone number: 307-399-7859
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