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1346543154
JACLYN FERTAL
COVINA, CA
NPI
1346543154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-12-16
Last Update Date
2013-05-14
Business Address
-- JACLYN FERTAL
4740 N GRAND AVE
COVINA, CA 91724-2005
Phone number: 626-859-2089
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Mailing Address
-- JACLYN FERTAL
4740 N GRAND AVE
COVINA, CA 91724-2005
Phone number: 626-859-2089
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