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1902210644
PERFORMANCE REHAB WELLNESS CENTER
VICTORVILLE, CA
NPI
1902210644
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Entity Type
Organization
Authorized Contact
HAZEL NIKKI MANGAOANG DAVID
Partner
760-490-4524
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center Physical Therapy
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
PERFORMANCE REHAB WELLNESS CENTER
12389 SAN YSIDRO ST
VICTORVILLE, CA 92392-6623
Phone number: 760-490-4524
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Mailing Address
PERFORMANCE REHAB WELLNESS CENTER
12389 SAN YSIDRO ST
VICTORVILLE, CA 92392-6623
Phone number: 760-490-4524
Copy
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