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1154576726
MAYRA ROQUE
NORTHRIDGE, CA
NPI
1154576726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2008-11-24
Last Update Date
2008-11-24
Business Address
-- MAYRA ROQUE
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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Mailing Address
-- MAYRA ROQUE
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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