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1932927860
JOSE DIVINAGRACIA LITERAL
BURBANK, CA
NPI
1932927860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306923)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
JOSE DIVINAGRACIA LITERAL DPT
401 S GLENOAKS BLVD STE 212
BURBANK, CA 91502-2750
Phone number: 747-286-6083
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Mailing Address
JOSE DIVINAGRACIA LITERAL DPT
11057 BAIRD AVE
PORTER RANCH, CA 91326-2407
Phone number: 317-531-9790
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