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1740264258
STANTON W SANDERSON
GRASS VALLEY, CA
NPI
1740264258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT13694)
Enumeration Date
2005-11-30
Last Update Date
2007-07-08
Business Address
-- STANTON W SANDERSON PT
10566 BRUNSWICK RD #4
GRASS VALLEY, CA 95945-9323
Phone number: 530-273-4152
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Mailing Address
-- STANTON W SANDERSON PT
PO BOX 612260
SAN JOSE, CA 95161-2260
Phone number: 877-325-2776
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