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1275288532
KEITH DIVINAGRACIA
LOS ANGELES, CA
NPI
1275288532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-02-15
Last Update Date
2022-02-15
Business Address
KEITH DIVINAGRACIA PT
2051 N HIGHLAND AVE
LOS ANGELES, CA 90068-1373
Phone number: 323-365-5458
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Mailing Address
KEITH DIVINAGRACIA PT
560 CALLE ESTRELLA
MONTEBELLO, CA 90640-5533
Phone number:
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