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1114270964
BRIAN BERNARD PONCE
LONG BEACH, CA
NPI
1114270964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-10-17
Last Update Date
2012-10-17
Business Address
-- BRIAN BERNARD PONCE
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804-3394
Phone number: 562-490-7600
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Mailing Address
-- BRIAN BERNARD PONCE
5150 E PCH STE 100
LONG BEACH, CA 90804-3394
Phone number:
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