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Individual

ALBERT BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2120 FOREST AVE, SUITE 3, SAN JOSE, CA 95128-1478
(408) 217-9387
(408) 866-4045
Mailing address
PO BOX 45342, SAN FRANCISCO, CA 94145-0342
(800) 726-9180
(800) 861-5950

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
03/21/2013
Last updated
03/21/2013
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