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1821317314
LUIS GERARDO SALAZAR
LA PUENTE, CA
NPI
1821317314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2010-05-23
Last Update Date
2018-05-07
Business Address
LUIS GERARDO SALAZAR
17457 SALAIS ST
LA PUENTE, CA 91744-5235
Phone number: 626-859-2089
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Mailing Address
LUIS GERARDO SALAZAR
17457 SALAIS ST
LA PUENTE, CA 91744-5235
Phone number: 626-859-2089
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