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1336729706
JANE MONGKOLVIPAKUL
LONG BEACH, CA
NPI
1336729706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT299955)
Enumeration Date
2021-04-10
Last Update Date
2021-04-10
Business Address
JANE MONGKOLVIPAKUL DPT
1865 MARBER AVE
LONG BEACH, CA 90815-3109
Phone number: 562-787-2822
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Mailing Address
JANE MONGKOLVIPAKUL DPT
1865 MARBER AVE
LONG BEACH, CA 90815-3109
Phone number: 562-787-2822
Copy
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