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1023872256
JOHN RUSSELL LORENZO
CORONA, CA
NPI
1023872256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 25526)
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
JOHN RUSSELL LORENZO MOT
2815 S MAIN ST
CORONA, CA 92882-2531
Phone number: 951-475-1307
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Mailing Address
JOHN RUSSELL LORENZO MOT
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 951-335-9825
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