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1093045189
DOREATHA BROADNAX
LOS ANGELES, CA
NPI
1093045189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-01-12
Last Update Date
2010-01-12
Business Address
-- DOREATHA BROADNAX
7410 S BROADWAY
LOS ANGELES, CA 90003-2034
Phone number: 323-541-9016
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Mailing Address
-- DOREATHA BROADNAX
7410 S BROADWAY
LOS ANGELES, CA 90003-2034
Phone number: 323-541-9016
Copy
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