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1356895908
GERARDO MACIAS
LOS ANGELES, CA
NPI
1356895908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 291812)
Enumeration Date
2016-08-12
Last Update Date
2016-08-30
Business Address
-- GERARDO MACIAS
488 S SAN VICENTE BLVD
LOS ANGELES, CA 90048-4107
Phone number: 323-655-9055
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Mailing Address
-- GERARDO MACIAS
488 S SAN VICENTE BLVD
LOS ANGELES, CA 90048-4107
Phone number: 323-655-9055
Copy
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