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1760268312
ELIJAH HAZZARD
LA QUINTA, CA
NPI
1760268312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304851)
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
ELIJAH HAZZARD PT
79440 CORPORATE CENTER DR STE 112
LA QUINTA, CA 92253-7243
Phone number: 760-771-9054
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Mailing Address
ELIJAH HAZZARD PT
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 951-335-9825
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