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1821454869
GLENN LALLAVE
GLENDALE, CA
NPI
1821454869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 43306)
Enumeration Date
2016-01-06
Last Update Date
2021-12-02
Business Address
GLENN LALLAVE
439 W STOCKER ST APT 103
GLENDALE, CA 91202-2371
Phone number: 323-428-4306
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Mailing Address
GLENN LALLAVE
439 W STOCKER ST APT 103
GLENDALE, CA 91202-2371
Phone number:
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