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1568794972
TINA LOUISE DERIENZO
LANCASTER, CA
NPI
1568794972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-02-10
Last Update Date
2013-06-27
Business Address
-- TINA LOUISE DERIENZO CPRP
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
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Mailing Address
-- TINA LOUISE DERIENZO CPRP
37642 LEMSFORD AVE
PALMDALE, CA 93550-5694
Phone number: 661-547-6449
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