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Individual

PAULINE ADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(760) 367-1743
Mailing address
7454 CANYON DR, YUCCA VALLEY, CA 92284-2305
(407) 963-8444

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49005
CA

Other

Enumeration date
04/21/2018
Last updated
04/21/2018
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