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MR. JARED LEE ACEVEDO DPT

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1093043846

Individual Registrant:
MR. JARED LEE ACEVEDO DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
17873 BALFERN AVE  BELLFLOWER, CA 90706-7154 US
Tel: 562-301-8744  Fax: --

Contact information for business:
17873 BALFERN AVE  BELLFLOWER, CA 90706-7154 US
Tel: 562-301-8744  Fax: --

Registration Information:
NPI: 1093043846
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
CA36216

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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