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1154163186
KEONI REI STALLWORTH
LOS ANGELES, CA
NPI
1154163186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: CA Pending)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
KEONI REI STALLWORTH DPT
1031 W 34TH ST STE 450
LOS ANGELES, CA 90089-3603
Phone number: 213-740-0215
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Mailing Address
KEONI REI STALLWORTH DPT
2215 ALCAZAR ST # 406B
LOS ANGELES, CA 90033-1003
Phone number: 916-670-4903
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