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1053788547
KEVIN C WHITE
VAN NUYS, CA
NPI
1053788547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business Address
-- KEVIN C WHITE BA
14515 HAMLIN ST SUITE 102
VAN NUYS, CA 91411-1608
Phone number: 818-989-7475
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Mailing Address
-- KEVIN C WHITE BA
14515 HAMLIN ST SUITE 102
VAN NUYS, CA 91411-1608
Phone number: 818-989-7475
Copy
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