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1114398815
SERGIO GERARDO TEJADA
RIVERSIDE, CA
NPI
1114398815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10036)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- SERGIO GERARDO TEJADA P.T.A.
2267 DRUMMOND ST
RIVERSIDE, CA 92506-1533
Phone number: 951-236-5356
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Mailing Address
-- SERGIO GERARDO TEJADA P.T.A.
2267 DRUMMOND ST
RIVERSIDE, CA 92506-1533
Phone number: 951-236-5356
Copy
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