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1891226437
NATHAN BURLAKOVSKY
LA MESA, CA
NPI
1891226437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 292923)
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
-- NATHAN BURLAKOVSKY
5905 SEVERIN DR
LA MESA, CA 91942-3806
Phone number: 619-589-2606
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Mailing Address
-- NATHAN BURLAKOVSKY
5905 SEVERIN DR
LA MESA, CA 91942-3806
Phone number:
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