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1740732205
LEA FAJARDO
CHINO, CA
NPI
1740732205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 34935)
Enumeration Date
2016-11-01
Last Update Date
2016-11-01
Business Address
-- LEA FAJARDO
6512 YOUNGSTOWN ST
CHINO, CA 91710-6948
Phone number: 909-529-4628
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Mailing Address
-- LEA FAJARDO
6512 YOUNGSTOWN ST
CHINO, CA 91710-6948
Phone number:
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