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1992320386
GINO DIZON LEGASPI
SAN JOSE, CA
NPI
1992320386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10822)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
Mr. GINO DIZON LEGASPI PTA
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-4342
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Mailing Address
Mr. GINO DIZON LEGASPI PTA
2087 WENDOVER LN
SAN JOSE, CA 95121-1465
Phone number: 510-378-6503
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