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1104412857
JIMMIE LEE TYLER
LOS ANGELES, CA
NPI
1104412857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
JIMMIE LEE TYLER
3200 MOTOR AVENUE
LOS ANGELES, CA 90034
Phone number: 310-836-1223
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Mailing Address
JIMMIE LEE TYLER
3200 MOTOR AVENUE
LOS ANGELES, CA 90034-3847
Phone number: 310-836-1223
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