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1477923027
ALEXANDER CHAVEZ
LA HABRA, CA
NPI
1477923027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
(Licence: CA 3295)
Enumeration Date
2015-09-25
Last Update Date
2015-09-25
Business Address
-- ALEXANDER CHAVEZ COTA
1770 W LA HABRA BLVD
LA HABRA, CA 90631-5130
Phone number: 714-773-0750
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Mailing Address
-- ALEXANDER CHAVEZ COTA
2321 MILLSTREAM DR
FULLERTON, CA 92833-2128
Phone number: 909-374-2763
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