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1740052588
IVAN DUCUSIN
CHULA VISTA, CA
NPI
1740052588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304960)
Enumeration Date
2023-10-25
Last Update Date
2023-10-25
Business Address
IVAN DUCUSIN PT,DPT
910 HALE PL STE 115
CHULA VISTA, CA 91914-3504
Phone number: 619-369-2667
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Mailing Address
IVAN DUCUSIN PT,DPT
968 MCCAIN VALLEY CT
CHULA VISTA, CA 91913-2834
Phone number: 619-955-2518
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