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1700323409
CARLO FERNANDEZ
IRVINE, CA
NPI
1700323409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 48205)
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
CARLO FERNANDEZ
17752 SKY PARK CIR
IRVINE, CA 92614-6419
Phone number: 949-885-0300
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Mailing Address
CARLO FERNANDEZ
385 S MANCHESTER AVE UNIT 4025
ORANGE, CA 92868-3267
Phone number:
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