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Individual
MICHAEL RAY EUGENIO
Active
Individual
MICHAEL RAY EUGENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29158
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT29158
CA PT LICENSE
CA
Enumeration date
05/30/2008
Last updated
03/03/2009
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