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1073255535
GWENDALYNE MARIE HENSON GUBATAN
LOS ANGELES, CA
NPI
1073255535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
GWENDALYNE MARIE HENSON GUBATAN COTA/L
3031 BEVERLY BLVD STE B
LOS ANGELES, CA 90057-1013
Phone number: 323-644-9380
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Mailing Address
GWENDALYNE MARIE HENSON GUBATAN COTA/L
316 N BURLINGTON AVE
LOS ANGELES, CA 90026-4941
Phone number:
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