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1396068219
PETER CARRASCO
GLENDORA, CA
NPI
1396068219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-03-05
Last Update Date
2010-03-05
Business Address
-- PETER CARRASCO
1160 S GRAND AVE
GLENDORA, CA 91740-5000
Phone number: 626-335-5980
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Mailing Address
-- PETER CARRASCO
PO BOX 473
LAKE FOREST, CA 92609-0473
Phone number:
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