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1912604083
ROSHAN KOTTAYADIYIL VARGHESE
LAKE ELSINORE, CA
NPI
1912604083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 303260)
Enumeration Date
2023-02-09
Last Update Date
2023-11-13
Business Address
ROSHAN KOTTAYADIYIL VARGHESE
425 DIAMOND DR STE 101
LAKE ELSINORE, CA 92530-4495
Phone number: 951-674-9517
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Mailing Address
ROSHAN KOTTAYADIYIL VARGHESE
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 951-335-9825
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