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1104015437
PABLO MLEZIVA
GRAND TERRACE, CA
NPI
1104015437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 33597)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
-- PABLO MLEZIVA Physical Therapist
12139 MOUNT VERNON AVE STE 110
GRAND TERRACE, CA 92313-5500
Phone number: 909-370-3396
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Mailing Address
-- PABLO MLEZIVA Physical Therapist
33410 WALLACE WAY
YUCAIPA, CA 92399-3488
Phone number: 909-266-0821
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