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1063237964
JOHN DECENA
SYLMAR, CA
NPI
1063237964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 52367)
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
JOHN DECENA
15148 LAKESIDE ST
SYLMAR, CA 91342-3709
Phone number: 323-770-4461
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Mailing Address
JOHN DECENA
15148 LAKESIDE ST
SYLMAR, CA 91342-3709
Phone number: 323-770-4461
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