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1831978535
SEAN MICHAEL QUALLS
SACRAMENTO, CA
NPI
1831978535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: CA C53905)
Enumeration Date
2023-09-22
Last Update Date
2023-09-22
Business Address
SEAN MICHAEL QUALLS
3301 C ST
SACRAMENTO, CA 95816-3300
Phone number: 916-551-3203
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Mailing Address
SEAN MICHAEL QUALLS
8081 LANGHAM WAY
SACRAMENTO, CA 95829-6071
Phone number: 916-513-2445
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