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1740778810
DIANA MARISSA VELASCO
POMONA, CA
NPI
1740778810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA PTA49092)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
DIANA MARISSA VELASCO
1902 ROYALTY DR
POMONA, CA 91767-3030
Phone number: 909-620-9700
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Mailing Address
DIANA MARISSA VELASCO
23410 TORONJA CORTE
CORONA, CA 92883-9369
Phone number:
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