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1700901253
MIKE JOHN MAYNARD
SAN DIEGO, CA
NPI
1700901253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 3934)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- MIKE JOHN MAYNARD PTA
4655 RUFFNER ST STE. 270
SAN DIEGO, CA 92111-2275
Phone number: 800-787-6787
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Mailing Address
-- MIKE JOHN MAYNARD PTA
32 POTOMAC
IRVINE, CA 92620-3254
Phone number:
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