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1831227156
RAY JOSE ROMAN
COSTA MESA, CA
NPI
1831227156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 33430)
Enumeration Date
2007-02-28
Last Update Date
2017-02-20
Business Address
-- RAY JOSE ROMAN DPT
2777 BRISTOL ST STE B
COSTA MESA, CA 92626-5997
Phone number: 949-250-1112
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Mailing Address
-- RAY JOSE ROMAN DPT
2777 BRISTOL ST STE B
COSTA MESA, CA 92626-5997
Phone number: 949-250-1112
Copy
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