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1639477193
JORGE FAJARDO
GLENDALE, CA
NPI
1639477193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-03-08
Last Update Date
2011-03-08
Business Address
-- JORGE FAJARDO
920 E BROADWAY
GLENDALE, CA 91205-1204
Phone number: 818-242-8403
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Mailing Address
-- JORGE FAJARDO
920 E BROADWAY
GLENDALE, CA 91205-1204
Phone number:
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