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1023830445
BRENT BLANCO SANTOS
NORTHRIDGE, CA
NPI
1023830445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 52993)
Enumeration Date
2024-10-28
Last Update Date
2024-10-28
Business Address
BRENT BLANCO SANTOS
8550 BALBOA BLVD STE 242
NORTHRIDGE, CA 91325-3593
Phone number: 877-757-8353
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Mailing Address
BRENT BLANCO SANTOS
8550 BALBOA BLVD STE 242
NORTHRIDGE, CA 91325-3593
Phone number: 877-757-8353
Copy
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