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Individual

IAN FREDRICK MAGPANTAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
41421 DATE ST STE 101, MURRIETA, CA 92562-7079
(951) 595-2154
Mailing address
41421 DATE ST STE 101, MURRIETA, CA 92562-7079
(951) 595-2154

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
303423
CA

Other

Enumeration date
01/12/2023
Last updated
01/15/2023
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