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1386116085
LISA RAE RIVERASHUMWAY
RIVERSIDE, CA
NPI
1386116085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT28095)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
LISA RAE RIVERASHUMWAY PT
3401 LEMON ST
RIVERSIDE, CA 92501-2861
Phone number: 951-686-8202
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Mailing Address
LISA RAE RIVERASHUMWAY PT
1035 CHESTNUT AVE
REDLANDS, CA 92373-6607
Phone number: 909-798-2129
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