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1285865832
STEVANUS IBRAHIM
WEST COVINA, CA
NPI
1285865832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 35401)
Enumeration Date
2009-07-30
Last Update Date
2021-06-14
Business Address
Mr. STEVANUS IBRAHIM PT, D.P.T.
1135 S SUNSET AVE STE 101
WEST COVINA, CA 91790-3938
Phone number: 626-732-8351
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Mailing Address
Mr. STEVANUS IBRAHIM PT, D.P.T.
3013 E MESA DR
WEST COVINA, CA 91791-2227
Phone number: 626-347-9722
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