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1821215500
SUSAN MATTOON HUFFAKER
RIVERSIDE, CA
NPI
1821215500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT9459)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
-- SUSAN MATTOON HUFFAKER PT
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 951-358-2669
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Mailing Address
-- SUSAN MATTOON HUFFAKER PT
11651 HUMMINGBIRD PL
MORENO VALLEY, CA 92557-6161
Phone number: 951-924-6861
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