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1912713173
JUSTINE LOURDES BANAAG BUENAVENTURA
LONG BEACH, CA
NPI
1912713173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306018)
Enumeration Date
2024-12-03
Last Update Date
2024-12-03
Business Address
Dr. JUSTINE LOURDES BANAAG BUENAVENTURA PT, DPT
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
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Mailing Address
Dr. JUSTINE LOURDES BANAAG BUENAVENTURA PT, DPT
1420 CAMINITO GARIBAY UNIT 3
CHULA VISTA, CA 91915-3100
Phone number: 619-632-7321
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