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1457902116
JESUS EDWARD PENA
PASADENA, CA
NPI
1457902116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
JESUS EDWARD PENA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-546-2800
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Mailing Address
JESUS EDWARD PENA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
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