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1003302662
OMAR A MEDINA
WHITTIER, CA
NPI
1003302662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA 4213)
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
Mr. OMAR A MEDINA
12411 SLAUSON AVE STE H
WHITTIER, CA 90606-2835
Phone number: 562-693-5449
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Mailing Address
Mr. OMAR A MEDINA
666 BRADSHAWE AVE
LOS ANGELES, CA 90022-3403
Phone number: 909-542-5204
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