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1710221825
SHELLY GWILT
FRESNO, CA
NPI
1710221825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT3851)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- SHELLY GWILT PTA
1630 E HERNDON AVE
FRESNO, CA 93720-3391
Phone number: 559-256-5200
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Mailing Address
-- SHELLY GWILT PTA
1630 E HERNDON AVE
FRESNO, CA 93720-3391
Phone number: 559-256-5200
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