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1154790673
MICHELLE VIDAL
LOS ANGELES, CA
NPI
1154790673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10945)
Enumeration Date
2015-09-15
Last Update Date
2015-09-15
Business Address
-- MICHELLE VIDAL
2265 GLOVER PL
LOS ANGELES, CA 90031-1128
Phone number: 323-679-3505
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Mailing Address
-- MICHELLE VIDAL
2265 GLOVER PL
LOS ANGELES, CA 90031-1128
Phone number:
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