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1518621010
DUSTIN VILLANUEVA DANCEL
BUENA PARK, CA
NPI
1518621010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 50207)
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
DUSTIN VILLANUEVA DANCEL PTA
8575 KNOTT AVE
BUENA PARK, CA 90620-3850
Phone number: 714-262-7557
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Mailing Address
DUSTIN VILLANUEVA DANCEL PTA
7430 CRESCENT AVE APT 201
BUENA PARK, CA 90620-3866
Phone number: 626-327-0856
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