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1245700566
TYRETEL IANCU
RIVERSIDE, CA
NPI
1245700566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
TYRETEL IANCU DPT
3401 LEMON ST
RIVERSIDE, CA 92501-2861
Phone number: 951-686-8202
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Mailing Address
TYRETEL IANCU DPT
43130 CHRISTOPHER LN
BANNING, CA 92220-1599
Phone number:
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