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1902543002
AILEEN CONCHA
STOCKTON, CA
NPI
1902543002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 33546)
Enumeration Date
2022-05-19
Last Update Date
2022-05-19
Business Address
AILEEN CONCHA PT
10132 CAPETOWN LN
STOCKTON, CA 95219-7255
Phone number: 209-598-3637
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Mailing Address
AILEEN CONCHA PT
10132 CAPETOWN LN
STOCKTON, CA 95219-7255
Phone number: 209-598-3637
Copy
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