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1962596908
KEVIN DALE IVEY
GRASS VALLEY, CA
NPI
1962596908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 20829)
Enumeration Date
2006-10-03
Last Update Date
2013-05-09
Business Address
-- KEVIN DALE IVEY P.T.
565 BRUNSWICK RD SUITE 4
GRASS VALLEY, CA 95945-9529
Phone number: 530-273-4152
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Mailing Address
-- KEVIN DALE IVEY P.T.
565 BRUNSWICK RD SUITE 4
GRASS VALLEY, CA 95945-9529
Phone number: 530-273-4152
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