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1871065052
ELLEN CANTOS
VENTURA, CA
NPI
1871065052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 30353)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
ELLEN CANTOS PT
5445 EVERGLADES ST
VENTURA, CA 93003-6523
Phone number: 805-642-1736
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Mailing Address
ELLEN CANTOS PT
5333 GILLESPIE ST
VENTURA, CA 93003-0231
Phone number: 805-512-1166
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