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1992900120
ANGIE B GRAVELINE
SAN DIEGO, CA
NPI
1992900120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA 27441)
Enumeration Date
2007-06-18
Last Update Date
2021-11-30
Business Address
-- ANGIE B GRAVELINE PT, DPT
4510 VIEWRIDGE AVE
SAN DIEGO, CA 92123-1637
Phone number: 858-694-4905
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Mailing Address
-- ANGIE B GRAVELINE PT, DPT
826 ORMOND CT
SAN DIEGO, CA 92109-7330
Phone number: 858-488-3483
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