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1760541148
GARY PAUL KONECNE
SANTA ANA, CA
NPI
1760541148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA PT22121)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Mr. GARY PAUL KONECNE PT
207 N WRIGHT ST
SANTA ANA, CA 92701-5127
Phone number: 714-478-5602
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Mailing Address
Mr. GARY PAUL KONECNE PT
207 N WRIGHT ST
SANTA ANA, CA 92701-5127
Phone number: 714-478-5602
Copy
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