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Individual
LO SAECHAO
Active
Individual
LO SAECHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
39083
CA
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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