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1124568142
EDGAR GONZALES
NORTHRIDGE, CA
NPI
1124568142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-02-24
Last Update Date
2017-06-15
Business Address
Mr. EDGAR GONZALES
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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Mailing Address
Mr. EDGAR GONZALES
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number:
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