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1134311509
RUSUDAN DEDIASHVILI
VAN NUYS, CA
NPI
1134311509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA D.C. 25561)
Enumeration Date
2007-08-09
Last Update Date
2014-09-18
Business Address
-- RUSUDAN DEDIASHVILI D.C.
13760 VICTORY BLVD
VAN NUYS, CA 91401-2324
Phone number: 818-922-7713
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Mailing Address
-- RUSUDAN DEDIASHVILI D.C.
13760 VICTORY BLVD
VAN NUYS, CA 91401-2324
Phone number: 818-922-7713
Copy
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