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Individual

ANDREA KANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
132 B AVE, CORONADO, CA 92118-1511
(619) 319-5201
Mailing address
1220 OKINAWA RD, CORONADO, CA 92118-3108

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary

Other

Enumeration date
09/24/2009
Last updated
09/24/2009
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