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1649509803
SHELBY FORN
LOS ANGELES, CA
NPI
1649509803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA PT27055)
Enumeration Date
2009-12-17
Last Update Date
2009-12-17
Business Address
Mrs. SHELBY FORN MPT
3301 TARECO DR
LOS ANGELES, CA 90068-1527
Phone number: 323-333-2915
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Mailing Address
Mrs. SHELBY FORN MPT
3301 TARECO DR
LOS ANGELES, CA 90068-1527
Phone number: 323-333-2915
Copy
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