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1245863711
SOFIA PROROK
GARDEN GROVE, CA
NPI
1245863711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 298065)
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
SOFIA PROROK DPT PT CSCS
13341 GARDEN GROVE BLVD STE B
GARDEN GROVE, CA 92843-2255
Phone number: 714-750-4097
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Mailing Address
SOFIA PROROK DPT PT CSCS
3947 VESPER CT
NAPERVILLE, IL 60564-7137
Phone number:
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