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1245628049
IVY VILLANUEVA
CHULA VISTA, CA
NPI
1245628049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 27547)
Enumeration Date
2014-12-31
Last Update Date
2014-12-31
Business Address
IVY VILLANUEVA
1664 SAN ANSELMO ST
CHULA VISTA, CA 91913-2918
Phone number: 619-623-1475
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Mailing Address
IVY VILLANUEVA
1664 SAN ANSELMO ST
CHULA VISTA, CA 91913-2918
Phone number: 619-623-1475
Copy
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