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1922648245
BRISTOL LEE BRISTOL
ORANGE, CA
NPI
1922648245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 50340)
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
BRISTOL LEE BRISTOL PTA
1026 E CHAPMAN AVE STE C
ORANGE, CA 92866-2152
Phone number: 714-538-1953
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Mailing Address
BRISTOL LEE BRISTOL PTA
581 N PAGEANT DR UNIT E
ORANGE, CA 92869-2537
Phone number: 817-694-8444
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