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Individual

DENA LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2990 INLAND EMPIRE BLVD STE 101, ONTARIO, CA 91764-4899
(909) 980-3427
Mailing address
12172 STRATFORD DR, RANCHO CUCAMONGA, CA 91739-9133

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
07/14/2009
Last updated
07/14/2009
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