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1053095901
NATHANIEL SHIGERU MACHADO TANIGUCHI
LOS ANGELES, CA
NPI
1053095901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 25070)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
NATHANIEL SHIGERU MACHADO TANIGUCHI OTR/L
325 S BOYLE AVE
LOS ANGELES, CA 90033-3812
Phone number: 213-986-9755
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Mailing Address
NATHANIEL SHIGERU MACHADO TANIGUCHI OTR/L
15407 GOLDEN LANTERN LN
LA MIRADA, CA 90638-1510
Phone number:
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