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Individual

DR. SABINO ORLAND MEDINA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2615 E CLINTON AVE, FRESNO, CA 93703
(559) 225-6100
Mailing address
10841 N. TEA PARTY LANE, FRESNO, CA 93730

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
VA SYSTEM
Enumeration date
05/29/2017
Last updated
05/29/2017
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