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1114459021
DONNISE FENNELL
LONG BEACH, CA
NPI
1114459021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-03-30
Last Update Date
2017-03-30
Business Address
-- DONNISE FENNELL
1501 HUGHES WAY SUITE 150
LONG BEACH, CA 90810-1876
Phone number: 310-221-6336
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Mailing Address
-- DONNISE FENNELL
1501 HUGHES WAY SUITE 150
LONG BEACH, CA 90810-1876
Phone number: 310-221-6336
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