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1891209706
SHANE R BURGESS
RIVERSIDE, CA
NPI
1891209706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT293973)
Enumeration Date
2017-11-30
Last Update Date
2018-03-17
Business Address
SHANE R BURGESS PT, DPT
10020 INDIANA AVE STE 4
RIVERSIDE, CA 92503-5479
Phone number: 951-637-2320
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Mailing Address
SHANE R BURGESS PT, DPT
24630 WASHINGTON AVE STE 200
MURRIETA, CA 92562-6177
Phone number: 951-696-9353
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