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1518630904
JOEL RONNIE LEDEZMA
WEST COVINA, CA
NPI
1518630904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2021-07-30
Last Update Date
2021-09-28
Business Address
JOEL RONNIE LEDEZMA
1005 W TERESA ST
WEST COVINA, CA 91790-1714
Phone number: 541-243-4116
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Mailing Address
JOEL RONNIE LEDEZMA
1005 W TERESA ST
WEST COVINA, CA 91790-1714
Phone number: 541-243-4116
Copy
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