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1922856723
JUAN TAMAYO
LOS ANGELES, CA
NPI
1922856723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 48330)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
JUAN TAMAYO
5901 W CENTURY BLVD
LOS ANGELES, CA 90045-5411
Phone number: 310-215-6020
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Mailing Address
JUAN TAMAYO
4847 W BROADWAY
HAWTHORNE, CA 90250-3554
Phone number: 310-251-9115
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