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1043402977
EDDIE BOQUILLA
LOS ANGELES, CA
NPI
1043402977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-08-14
Last Update Date
2007-08-14
Business Address
-- EDDIE BOQUILLA
3125 N BROADWAY
LOS ANGELES, CA 90031-2703
Phone number: 323-222-4591
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Mailing Address
-- EDDIE BOQUILLA
3125 N BROADWAY
LOS ANGELES, CA 90031-2703
Phone number: 323-222-4591
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