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1811772049
IVAN VALENZUELA SILVA
REDLANDS, CA
NPI
1811772049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies
226300000X Kinesiotherapist
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
IVAN VALENZUELA SILVA NASM-PES, KT, AT
1030 E BROCKTON AVE
REDLANDS, CA 92374-3611
Phone number: 909-283-1830
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Mailing Address
IVAN VALENZUELA SILVA NASM-PES, KT, AT
1030 E BROCKTON AVE
REDLANDS, CA 92374-3611
Phone number: 909-283-1830
Copy
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