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1013169002
SERGIO QUEZADA
COMMERCE, CA
NPI
1013169002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
-- SERGIO QUEZADA
6055 E WASHINGTON BLVD 900
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
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Mailing Address
-- SERGIO QUEZADA
4541 N FIGUEROA ST
LOS ANGELES, CA 90065-3026
Phone number: 323-227-0165
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