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Individual

MR. ANTONIO PEREZ CARRILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11741 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670-3687
(562) 942-8256
Mailing address
10016 ORANGE AVE, SOUTH GATE, CA 90280-6424
(562) 942-8256
(562) 942-9789

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
08/17/2010
Last updated
08/23/2010
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