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1013091453
JACK MARCELINO LOMBA
ELK GROVE, CA
NPI
1013091453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 12561)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
JACK MARCELINO LOMBA PT
7805 LAGUNE BLVD 300
ELK GROVE, CA 95758-7952
Phone number: 916-691-5400
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Mailing Address
JACK MARCELINO LOMBA PT
306 ARROYO MADRONE CT
LINCOLN, CA 95648
Phone number: 916-543-8506
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