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1992125603
JONATHAN RICALDE
LOS ANGELES, CA
NPI
1992125603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-04-21
Last Update Date
2014-04-21
Business Address
-- JONATHAN RICALDE
6762 LEXINGTON AVE SUITE A
LOS ANGELES, CA 90038-1217
Phone number: 323-380-7590
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Mailing Address
-- JONATHAN RICALDE
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-576-1308
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