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1164662763
CHANTHA PECH LOR
PASADENA, CA
NPI
1164662763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2009-02-23
Last Update Date
2009-02-23
Business Address
-- CHANTHA PECH LOR
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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Mailing Address
-- CHANTHA PECH LOR
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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