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1326586975
JUAN CARLO FRUTO
LAKE ELSINORE, CA
NPI
1326586975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 41851)
Enumeration Date
2017-02-03
Last Update Date
2017-02-03
Business Address
-- JUAN CARLO FRUTO
41024 SUNSPRITE ST
LAKE ELSINORE, CA 92532-1556
Phone number: 951-575-9768
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Mailing Address
-- JUAN CARLO FRUTO
41024 SUNSPRITE ST
LAKE ELSINORE, CA 92532-1556
Phone number: 951-575-9768
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