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Individual

ROBERT ALEXANDER RISINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3002 FREEBORN ST, DUARTE, CA 91010-1507
(626) 993-4870
Mailing address
1750 ROSE AVE, SAN MARINO, CA 91108-3015
(626) 285-3422

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
09/08/2020
Last updated
09/08/2020
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