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1548915952
JONATHAN IRVING AYALA BRISENO
HUNTINGTON PARK, CA
NPI
1548915952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
JONATHAN IRVING AYALA BRISENO
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
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Mailing Address
JONATHAN IRVING AYALA BRISENO
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number:
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