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1679029102
LANI FONTILLAS
DAVIS, CA
NPI
1679029102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 48143)
Enumeration Date
2016-08-25
Last Update Date
2016-08-25
Business Address
-- LANI FONTILLAS PTA
1515 SHASTA DR
DAVIS, CA 95616-6691
Phone number: 530-747-7000
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Mailing Address
-- LANI FONTILLAS PTA
4560 SE INTERNATIONAL WAY SUITE 100
MILWAUKIE, OR 97222-4628
Phone number:
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