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1740682269
MARK TKACZUK
LOS ANGELES, CA
NPI
1740682269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 41686)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
-- MARK TKACZUK
5478 WILSHIRE BLVD STE 208
LOS ANGELES, CA 90036-4225
Phone number: 323-936-7525
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Mailing Address
-- MARK TKACZUK
5478 WILSHIRE BLVD STE 208
LOS ANGELES, CA 90036-4225
Phone number:
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