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Individual

BRIAN GREGORY BOONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
27401 LOS ALTOS, SUITE 485, MISSION VIEJO, CA 92691-6316
(949) 716-3930
Mailing address
27401 LOS ALTOS, SUITE 485, MISSION VIEJO, CA 92691-6316
(949) 716-3930

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36811
CA

Other

Enumeration date
07/10/2010
Last updated
07/10/2010
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