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1871327494
ALVIN FONTIMAYOR CUSTODIO
SAN DIEGO, CA
NPI
1871327494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 42889)
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
ALVIN FONTIMAYOR CUSTODIO
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 833-574-2273
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Mailing Address
ALVIN FONTIMAYOR CUSTODIO
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number:
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