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1932246576
NASSER C AMILASAN
STOCKTON, CA
NPI
1932246576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 17823)
Enumeration Date
2007-01-31
Last Update Date
2011-03-08
Business Address
-- NASSER C AMILASAN PT
6725 INGLEWOOD AVE
STOCKTON, CA 95207-3865
Phone number: 209-368-1009
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Mailing Address
-- NASSER C AMILASAN PT
222 W PINE ST
LODI, CA 95240-2020
Phone number: 209-368-1009
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