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1548602345
MARK ANTHONY PANGANIBAN SALAZAR
BUENA PARK, CA
NPI
1548602345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT8405)
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
Mr. MARK ANTHONY PANGANIBAN SALAZAR PTA
6532 SAN HERNANDO WAY
BUENA PARK, CA 90620-2902
Phone number: 714-723-1210
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Mailing Address
Mr. MARK ANTHONY PANGANIBAN SALAZAR PTA
6532 SAN HERNANDO WAY
BUENA PARK, CA 90620-2902
Phone number: 714-723-1210
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