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Individual
MR. MIKE LENARD BUNDALIAN HANDOG
Active
Individual
MR. MIKE LENARD BUNDALIAN HANDOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS PHYSICAL THERAPY
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
028757
NY
225100000X
Physical Therapist
Primary
34562
CA
Other
Enumeration date
11/24/2006
Last updated
01/28/2011
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