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1255456752
NOVO F BANTOLO
LOS ANGELES, CA
NPI
1255456752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 32795)
Enumeration Date
2007-03-21
Last Update Date
2021-11-29
Business Address
-- NOVO F BANTOLO PT
6033 W CENTURY BLVD SUITE 200 & 201
LOS ANGELES, CA 90045-6410
Phone number: 615-778-4066
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Mailing Address
-- NOVO F BANTOLO PT
720 COOL SPRINGS BLVD SUITE 300
FRANKLIN, TN 37067-2626
Phone number: 615-778-4066
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