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1851440440
DOUGLAS ANTHONY LAVALLEY
FONTANA, CA
NPI
1851440440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 21927)
Enumeration Date
2007-01-10
Last Update Date
2011-10-27
Business Address
Mr. DOUGLAS ANTHONY LAVALLEY PT
9985 SIERRA AVE MOB 2, FIRST FLOOR
FONTANA, CA 92335-6720
Phone number: 909-427-6991
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Mailing Address
Mr. DOUGLAS ANTHONY LAVALLEY PT
8651 FOOTHILL BLVD 149
RANCHO CUCAMONGA, CA 91730-3308
Phone number: 909-920-3986
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