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1750754776
LORA BOONE
SANTA CRUZ, CA
NPI
1750754776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 41921)
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
-- LORA BOONE MPT
1555 SOQUEL DR DOMINICAN HOSPITAL
SANTA CRUZ, CA 95065
Phone number: 831-462-7700
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Mailing Address
-- LORA BOONE MPT
1445 B 38TH AVE
SANTA CRUZ, CA 95062
Phone number:
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