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1740308154
ALVIN LAZARO BANZUELA
TORRANCE, CA
NPI
1740308154
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Professional Name
THERA- PRN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT24628)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Mr. ALVIN LAZARO BANZUELA PT
2427 GRAMERCY AVE
TORRANCE, CA 90501-4445
Phone number: 310-328-1084
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Mailing Address
Mr. ALVIN LAZARO BANZUELA PT
2427 GRAMERCY AVE
TORRANCE, CA 90501-4445
Phone number: 310-328-1084
Copy
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