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1932313723
KATHLEEN DECLERCQ
LOS ANGELES, CA
NPI
1932313723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 20808)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
-- KATHLEEN DECLERCQ
1200 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-226-5096
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Mailing Address
-- KATHLEEN DECLERCQ
3476 CERRITOS AVE
LONG BEACH, CA 90807-4714
Phone number: 562-726-1579
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