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1639835168
RICHARD ALEXANDER ORTEGA
PACOIMA, CA
NPI
1639835168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2021-11-09
Last Update Date
2021-11-09
Business Address
RICHARD ALEXANDER ORTEGA
12360 OSBORNE ST UNIT 123
PACOIMA, CA 91331-2168
Phone number: 818-284-5062
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Mailing Address
RICHARD ALEXANDER ORTEGA
12360 OSBORNE ST UNIT 123
PACOIMA, CA 91331-2168
Phone number: 818-284-5062
Copy
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