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1871327817
IVAN CASTANEDA-GARCIA
SAN DIEGO, CA
NPI
1871327817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 53546)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
IVAN CASTANEDA-GARCIA
4435 EASTGATE MALL STE 120
SAN DIEGO, CA 92121-1980
Phone number: 858-587-8669
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Mailing Address
IVAN CASTANEDA-GARCIA
1015 E OHIO AVE APT 102
ESCONDIDO, CA 92025-4661
Phone number: 619-994-0826
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