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1891064663
KYLE L TATTERSHALL
STOCKTON, CA
NPI
1891064663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT38580)
Enumeration Date
2011-12-22
Last Update Date
2013-08-12
Business Address
-- KYLE L TATTERSHALL DPT
1716 W HAMMER LN
STOCKTON, CA 95209-2922
Phone number: 209-473-2383
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Mailing Address
-- KYLE L TATTERSHALL DPT
1106 WALNUT ST # 110
SAN LUIS OBISPO, CA 93401-2416
Phone number: 805-788-0805
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