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1619684982
ERNESTO RIVERA
MODESTO, CA
NPI
1619684982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 302796)
Enumeration Date
2022-11-04
Last Update Date
2023-09-13
Business Address
ERNESTO RIVERA
2119 E HATCH RD STE A
MODESTO, CA 95351-4814
Phone number: 209-812-3055
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Mailing Address
ERNESTO RIVERA
829 CHARLES RD
HUGHSON, CA 95326-9511
Phone number: 209-505-2156
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