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1861580748
MICHAEL BRAD ITO
ROSEVILLE, CA
NPI
1861580748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 27884)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- MICHAEL BRAD ITO MPT
114 N SUNRISE AVE SUITE B-1
ROSEVILLE, CA 95661-2916
Phone number: 916-789-1384
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Mailing Address
-- MICHAEL BRAD ITO MPT
114 N SUNRISE AVE SUITE B-1
ROSEVILLE, CA 95661-2916
Phone number: 916-789-1384
Copy
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