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1952477705
MARK E TATE
SAN DIEGO, CA
NPI
1952477705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT27239)
Enumeration Date
2006-11-24
Last Update Date
2007-07-08
Business Address
-- MARK E TATE MPT
3115 OCEAN FRONT WALK
SAN DIEGO, CA 92109-8729
Phone number: 858-488-3597
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Mailing Address
-- MARK E TATE MPT
3639 MIDWAY DR STE B286
SAN DIEGO, CA 92110-5254
Phone number: 858-488-3597
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