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1871327981
LISETH DOMINGUEZ
LOS ANGELES, CA
NPI
1871327981
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Other Name
LISETH CASTILLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306402)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
LISETH DOMINGUEZ DPT
1500 SAN PABLO ST
LOS ANGELES, CA 90033-5313
Phone number: 800-872-2273
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Mailing Address
LISETH DOMINGUEZ DPT
1307 W 51ST ST
LOS ANGELES, CA 90037-3420
Phone number:
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