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1699809848
JUSTIN LEIF KENNERLY
LOS ANGELES, CA
NPI
1699809848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA 25910)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN LEIF KENNERLY PT
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-669-2118
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Mailing Address
Mr. JUSTIN LEIF KENNERLY PT
2346 GLENROSE AVE
ALTADENA, CA 91001-5502
Phone number: 626-345-1733
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