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1841825205
MARK RETIRO
LOS ANGELES, CA
NPI
1841825205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT29548)
Enumeration Date
2020-03-06
Last Update Date
2020-05-27
Business Address
MARK RETIRO
975 N VIRGIL AVE
LOS ANGELES, CA 90029-2944
Phone number: 323-665-5793
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Mailing Address
MARK RETIRO
2939 N NORTH COOLIDGE AVE
LOS ANGELES, CA 90039-3411
Phone number:
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