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1790940922
HECTOR MANCILLAS
GLENDORA, CA
NPI
1790940922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
-- HECTOR MANCILLAS
1160 S GRAND AVE
GLENDORA, CA 91740-5000
Phone number: 626-335-5980
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Mailing Address
-- HECTOR MANCILLAS
906 W BENWOOD ST
SAN DIMAS, CA 91773-3503
Phone number: 626-335-5980
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