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1972067551
LORA CELESTE HARVEY
MODESTO, CA
NPI
1972067551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT22985)
Enumeration Date
2019-01-28
Last Update Date
2022-01-25
Business Address
LORA CELESTE HARVEY PT
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-416-6347
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Mailing Address
LORA CELESTE HARVEY PT
315 MERLOT DR
OAKDALE, CA 95361-8281
Phone number: 209-404-2223
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