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1003947789
JOSE D, FERNANDEZ
GARDENA, CA
NPI
1003947789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-07
Last Update Date
2016-04-27
Business Address
Mr. JOSE D, FERNANDEZ
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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Mailing Address
Mr. JOSE D, FERNANDEZ
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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