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1386234847
RENE SANDOVAL
ALTADENA, CA
NPI
1386234847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: CA 225400000X)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
Mr. RENE SANDOVAL
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4996
Phone number: 626-798-6793
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Mailing Address
Mr. RENE SANDOVAL
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 747-283-9570
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