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1497141279
JOHN RAY LAFORTEZA
KENNETT SQUARE, PA
NPI
1497141279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10454)
Enumeration Date
2015-04-08
Last Update Date
2015-04-08
Business Address
MR. JOHN RAY LAFORTEZA
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 844-399-9887
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Mailing Address
MR. JOHN RAY LAFORTEZA
1311 VINCA WAY
SAN DIEGO, CA 92114-6811
Phone number:
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