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1811439698
PHILIP SAMANIEGO
CAMARILLO, CA
NPI
1811439698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10240)
Enumeration Date
2016-11-10
Last Update Date
2016-11-10
Business Address
MR. PHILIP SAMANIEGO PTA
205 GRANADA ST
CAMARILLO, CA 93010-7715
Phone number: 805-482-9805
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Mailing Address
MR. PHILIP SAMANIEGO PTA
746 NILE RIVER DR
OXNARD, CA 93036-5354
Phone number:
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