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1831302231
JAMES ELLIS FORTIN
CHULA VISTA, CA
NPI
1831302231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist Geriatrics
(Licence: CA 22069)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
JAMES ELLIS FORTIN MPT
251 LANDIS AVE, SUITE 201
CHULA VISTA, CA 91910
Phone number: 619-498-8450
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Mailing Address
JAMES ELLIS FORTIN MPT
771 LAVENDER CT.
SAN MARCOS, CA 92069-1958
Phone number: 760-798-9602
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