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1023202579
ELADIO DIESTO FLORES
SEAL BEACH, CA
NPI
1023202579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center Physical Therapy
(Licence: CA 33673)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
MR. ELADIO DIESTO FLORES PT
2920 WESTMINSTER AVE
SEAL BEACH, CA 90740-5305
Phone number: 562-594-8600
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Mailing Address
MR. ELADIO DIESTO FLORES PT
8352 YORKSHIRE AVE
ANAHEIM, CA 92804-6769
Phone number: 562-303-6207
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