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1295511608
SANAM EJAZ
RANCHO CUCAMONGA, CA
NPI
1295511608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 50639)
Enumeration Date
2023-09-01
Last Update Date
2023-09-01
Business Address
SANAM EJAZ PTA
9695 BASE LINE RD
RANCHO CUCAMONGA, CA 91730-1314
Phone number: 909-481-0437
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Mailing Address
SANAM EJAZ PTA
6350 SERPENS CT
EASTVALE, CA 91752-7616
Phone number: 949-310-9139
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