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1033667639
MIA DEANDRA CARMONA
CERRITOS, CA
NPI
1033667639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
-- MIA DEANDRA CARMONA
17707 STUDEBAKER RD
CERRITOS, CA 90703-2640
Phone number: 562-403-0110
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Mailing Address
-- MIA DEANDRA CARMONA
147 CASCADE CT
BREA, CA 92821-3417
Phone number: 714-853-0424
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