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1023407772
SARAH BUENVIAJE HERMOGENO
RESEDA, CA
NPI
1023407772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA AT 9662)
Enumeration Date
2015-01-20
Last Update Date
2015-01-21
Business Address
-- SARAH BUENVIAJE HERMOGENO PTA
7120 CORBIN AVE
RESEDA, CA 91335-3618
Phone number: 818-881-4540
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Mailing Address
-- SARAH BUENVIAJE HERMOGENO PTA
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 800-243-4556
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