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1366124430
MADELAINE LOUISE SAN AGUSTIN SY
GLENDALE, CA
NPI
1366124430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 51797)
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
MADELAINE LOUISE SAN AGUSTIN SY PTA
1420 S CENTRAL AVE
GLENDALE, CA 91204-2508
Phone number: 818-502-2330
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Mailing Address
MADELAINE LOUISE SAN AGUSTIN SY PTA
824 ARCADIA AVE APT 2
ARCADIA, CA 91007-7223
Phone number: 626-346-6366
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