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1144792193
ALONZO RAFAEL HIDALGO
PASADENA, CA
NPI
1144792193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 19402)
Enumeration Date
2018-12-31
Last Update Date
2018-12-31
Business Address
ALONZO RAFAEL HIDALGO OTR/L
909 S FAIR OAKS AVE
PASADENA, CA 91105-2625
Phone number: 626-389-9515
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Mailing Address
ALONZO RAFAEL HIDALGO OTR/L
909 S FAIR OAKS AVE
PASADENA, CA 91105-2625
Phone number: 626-389-9515
Copy
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