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1811730450
CRISTOPHER LARA
SAN JOSE, CA
NPI
1811730450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306134)
Enumeration Date
2024-06-13
Last Update Date
2024-07-03
Business Address
CRISTOPHER LARA
5434 THORNWOOD DR
SAN JOSE, CA 95123-1214
Phone number: 408-365-8396
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Mailing Address
CRISTOPHER LARA
2145 THE ALAMEDA
SAN JOSE, CA 95126-1141
Phone number: 408-556-0110
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