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1770917387
LAUREN M IVANOFF
EXETER, CA
NPI
1770917387
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Former Name
LAUREN M BASTRIRE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT40515)
Enumeration Date
2013-08-30
Last Update Date
2021-09-02
Business Address
LAUREN M IVANOFF PT
134 S E ST
EXETER, CA 93221-1731
Phone number: 559-592-9000
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Mailing Address
LAUREN M IVANOFF PT
701 W CENTER AVE
VISALIA, CA 93291-6015
Phone number: 559-713-6806
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