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1265809032
ERIC LIONEL MENDOZA
VAN NUYS, CA
NPI
1265809032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10946)
Enumeration Date
2015-08-27
Last Update Date
2015-08-27
Business Address
ERIC LIONEL MENDOZA PTA
15243 VANOWEN ST SUITE 107
VAN NUYS, CA 91405-3605
Phone number: 818-849-6613
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Mailing Address
ERIC LIONEL MENDOZA PTA
11611 BLUCHER AVE UNIT #173
GRANADA HILLS, CA 91344-3249
Phone number: 818-741-8326
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