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1871577759
LISA KIMBERLY ENNIS
MORENO VALLEY, CA
NPI
1871577759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT22506)
Enumeration Date
2005-12-03
Last Update Date
2021-11-01
Business Address
LISA KIMBERLY ENNIS PT MPT
23100 EUCALYPTUS AVE STE C
MORENO VALLEY, CA 92553-5439
Phone number: 951-379-1500
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Mailing Address
LISA KIMBERLY ENNIS PT MPT
23100 EUCALYPTUS AVE STE C
MORENO VALLEY, CA 92553-5439
Phone number: 951-660-4532
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