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1659815793
RUDOLPH FAJARDO
BERKELEY, CA
NPI
1659815793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 32787)
Enumeration Date
2016-12-08
Last Update Date
2017-02-14
Business Address
Mr. RUDOLPH FAJARDO PT
2131 HEARST AVE # 5
BERKELEY, CA 94709-1832
Phone number: 212-663-4035
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Mailing Address
Mr. RUDOLPH FAJARDO PT
2131 HEARST AVE APT 5
BERKELEY, CA 94709-1832
Phone number: 212-663-4035
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