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1851633739
KRISTINA M DIVICO
SAN DIEGO, CA
NPI
1851633739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 39995)
Enumeration Date
2013-03-19
Last Update Date
2013-03-19
Business Address
Dr. KRISTINA M DIVICO DPT
404 CAMINO DEL RIO S SUITE 508
SAN DIEGO, CA 92108-3503
Phone number: 619-325-0154
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Mailing Address
Dr. KRISTINA M DIVICO DPT
715 COHASSET CT APT 15
SAN DIEGO, CA 92109-8142
Phone number: 206-661-1501
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