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1922669530
ANTONIO STACY AMBROSIO
ANTIOCH, CA
NPI
1922669530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 13589)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
Mr. ANTONIO STACY AMBROSIO RPT,CKTP
4434 PALISADES WAY
ANTIOCH, CA 94531-9394
Phone number: 925-427-4444
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Mailing Address
Mr. ANTONIO STACY AMBROSIO RPT,CKTP
4434 PALISADES WAY ANTIOCH,CA 94531
ANTIOCH, CA 94531-9394
Phone number: 925-427-4444
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