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1740796994
LOGAN ASTON PONCE
HERMOSA BEACH, CA
NPI
1740796994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist Orthopedic
(Licence: CA 294086)
Enumeration Date
2017-12-26
Last Update Date
2017-12-26
Business Address
DR. LOGAN ASTON PONCE DPT
1601 PACIFIC COAST HWY STE 290
HERMOSA BEACH, CA 90254-3283
Phone number: 310-798-2900
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Mailing Address
DR. LOGAN ASTON PONCE DPT
1620 W ARROW RTE 303
UPLAND, CA 91786
Phone number:
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