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1649482589
ADA FAJARDO DOMINGUEZ
LOS ANGELES, CA
NPI
1649482589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA 12757)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Ms. ADA FAJARDO DOMINGUEZ PT
1200 N STATE ST
LOS ANGELES, CA 90033
Phone number: 323-226-3765
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Mailing Address
Ms. ADA FAJARDO DOMINGUEZ PT
15510 ROJAS ST
HACIENDA HEIGHTS, CA 91745
Phone number: 626-330-1677
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