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1679126320
GENESIS SPORTS PERFORMANCE INC
LAKE FOREST, CA
NPI
1679126320
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Entity Type
Organization
Authorized Contact
LISA CAMPBELL
Owner/Physical Therapist
949-838-6686
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
GENESIS SPORTS PERFORMANCE INC
22600 LAMBERT ST STE 1204F
LAKE FOREST, CA 92630-1623
Phone number: 949-838-6686
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Mailing Address
GENESIS SPORTS PERFORMANCE INC
22600 LAMBERT ST STE 1204F
LAKE FOREST, CA 92630-1623
Phone number: 949-838-6686
Copy
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