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1922694660
TYLER MICHAEL BACARRO
SAN RAFAEL, CA
NPI
1922694660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 299436)
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
TYLER MICHAEL BACARRO
1099 D ST STE 105
SAN RAFAEL, CA 94901-2839
Phone number: 415-532-8335
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Mailing Address
TYLER MICHAEL BACARRO
219 9TH AVE
SAN FRANCISCO, CA 94118-2208
Phone number: 858-997-6623
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