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1356751184
JOAN RAE M HERMOSURA
LOS ANGELES, CA
NPI
1356751184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA pt 41096)
Enumeration Date
2014-05-01
Last Update Date
2023-10-27
Business Address
-- JOAN RAE M HERMOSURA PT
1526 N EDGEMONT ST
LOS ANGELES, CA 90027-5260
Phone number: 800-954-8000
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Mailing Address
-- JOAN RAE M HERMOSURA PT
22858 BAYWOOD DR
CARSON, CA 90745-4754
Phone number:
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