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1417647561
GENENE LARA
PISMO BEACH, CA
NPI
1417647561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304074)
Enumeration Date
2023-05-11
Last Update Date
2023-05-11
Business Address
GENENE LARA
271 FIVE CITIES DR
PISMO BEACH, CA 93449-3009
Phone number: 805-473-7499
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Mailing Address
GENENE LARA
PO BOX 2638
PISMO BEACH, CA 93448-2638
Phone number: 805-473-7499
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