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1134560444
EDGAR ISSAC PERALTA
LOS ANGELES, CA
NPI
1134560444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-07-15
Last Update Date
2013-07-15
Business Address
Mr. EDGAR ISSAC PERALTA b.a.
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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Mailing Address
Mr. EDGAR ISSAC PERALTA b.a.
9064 LINDSEY AVE
DOWNEY, CA 90240-2420
Phone number: 562-286-4801
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