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1457114084
JOSE LUIS BETANCOURT
ALTADENA, CA
NPI
1457114084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
JOSE LUIS BETANCOURT
2933 EL NIDO DR
ALTADENA, CA 91001-4599
Phone number: 626-517-2100
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Mailing Address
JOSE LUIS BETANCOURT
2933 EL NIDO DR
ALTADENA, CA 91001-4599
Phone number: 626-517-2100
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