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Individual
MR. JESUS CORONA
Active
Individual
MR. JESUS CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
54798
CA
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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