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1083740740
TED E. HIATT
SANTA MONICA, CA
NPI
1083740740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mr. TED E. HIATT
1339 20TH ST
SANTA MONICA, CA 90404-2033
Phone number: 310-829-8945
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Mailing Address
Mr. TED E. HIATT
1339 20TH ST
SANTA MONICA, CA 90404-2033
Phone number: 310-829-8945
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