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1154199057
ALTHEA MAE BONTILAO BAZAR
PALMDALE, CA
NPI
1154199057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304746)
Enumeration Date
2023-12-20
Last Update Date
2024-07-18
Business Address
ALTHEA MAE BONTILAO BAZAR PT
38121 25TH ST E APT I202
PALMDALE, CA 93550-4977
Phone number: 213-374-6836
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Mailing Address
ALTHEA MAE BONTILAO BAZAR PT
495 S SPALDING DR
BEVERLY HILLS, CA 90212-4103
Phone number: 213-374-6836
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