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Individual
IMELDA DAYUTA MILO
Active
Individual
IMELDA DAYUTA MILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT26408
CA PT LICENSE
CA
Enumeration date
10/09/2017
Last updated
10/09/2017
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