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1730339896
JETAINE HART
LONG BEACH, CA
NPI
1730339896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2008-09-25
Last Update Date
2008-09-25
Business Address
-- JETAINE HART
2931 REDONDO AVE
LONG BEACH, CA 90806-2445
Phone number: 562-490-7600
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Mailing Address
-- JETAINE HART
2136 E 2ND ST APT 6
LONG BEACH, CA 90803-5118
Phone number: 951-231-0980
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