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1174134241
CAROLE GONG
SANTA MONICA, CA
NPI
1174134241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA 298711)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
CAROLE GONG
719 SANTA MONICA BLVD
SANTA MONICA, CA 90401-2601
Phone number: 310-260-9039
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Mailing Address
CAROLE GONG
1301 VIA DEL REY
SOUTH PASADENA, CA 91030-3630
Phone number:
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