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1992171235
DOMINIC BURGOS CORPUS
VAN NUYS, CA
NPI
1992171235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 42606)
Enumeration Date
2015-08-20
Last Update Date
2015-08-20
Business Address
Mr. DOMINIC BURGOS CORPUS PT
6121 WOODMAN AVE APT 316
VAN NUYS, CA 91401-6309
Phone number: 818-267-4964
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Mailing Address
Mr. DOMINIC BURGOS CORPUS PT
6121 WOODMAN AVE APT 316
VAN NUYS, CA 91401-6309
Phone number: 818-267-4964
Copy
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