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1730383506
SUSAN MAIS-REQUEJO
LONG BEACH, CA
NPI
1730383506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA PT18717)
Enumeration Date
2007-06-13
Last Update Date
2014-04-30
Business Address
-- SUSAN MAIS-REQUEJO D.P.T.
2819 JOSIE AVE
LONG BEACH, CA 90815-1515
Phone number: 562-743-3761
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Mailing Address
-- SUSAN MAIS-REQUEJO D.P.T.
2819 JOSIE AVE
LONG BEACH, CA 90815-1515
Phone number: 562-743-3761
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