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1902405350
KEVIN LOZARES VILLANUEVA
SAN DIEGO, CA
NPI
1902405350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 50796)
Enumeration Date
2020-10-17
Last Update Date
2024-08-29
Business Address
KEVIN LOZARES VILLANUEVA PTA
16950 VIA TAZON
SAN DIEGO, CA 92127-1607
Phone number: 800-926-8273
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Mailing Address
KEVIN LOZARES VILLANUEVA PTA
FILE 57326
LOS ANGELES, CA 90074-0001
Phone number:
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