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1104366467
IAN CESAR JR LUARDO
HYATTSVILLE, MD
NPI
1104366467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 26387)
Enumeration Date
2017-03-06
Last Update Date
2017-06-16
Business Address
IAN CESAR JR LUARDO
4922 LASALLE RD
HYATTSVILLE, MD 20782-3302
Phone number: 301-864-2333
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Mailing Address
IAN CESAR JR LUARDO
4922 LASALLE RD
HYATTSVILLE, MD 20782-3302
Phone number: 240-520-3345
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