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1023140670
SAMUEL GONZALES
LOS ANGELES, CA
NPI
1023140670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
Mr. SAMUEL GONZALES BA
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-836-1223
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Mailing Address
Mr. SAMUEL GONZALES BA
1201 N CRESCENT HEIGHTS BLVD #105
WEST HOLLYWOOD, CA 90046-5046
Phone number: 310-836-1223
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