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1912039058
JERALD W LEITHERER
GRASS VALLEY, CA
NPI
1912039058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT32624)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- JERALD W LEITHERER PT
10565 BRUNSWICK RD SUITE 4
GRASS VALLEY, CA 95945-9053
Phone number: 530-273-4152
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Mailing Address
-- JERALD W LEITHERER PT
318 BUENA VISTA ST
GRASS VALLEY, CA 95945-7210
Phone number: 530-273-4152
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