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1164010344
SUSANA CAROLINA CHIA
VAN NUYS, CA
NPI
1164010344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
(Licence: CA 95012117)
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
Mrs. SUSANA CAROLINA CHIA
7211 VAN NUYS BLVD
VAN NUYS, CA 91405-2256
Phone number: 818-988-2722
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Mailing Address
Mrs. SUSANA CAROLINA CHIA
603 PEARL ST
SAN GABRIEL, CA 91776-2617
Phone number: 323-404-2188
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