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1184758252
EDWIN KENNETH LEGARRETA
VAN NUYS, CA
NPI
1184758252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- EDWIN KENNETH LEGARRETA
6931 VAN NUYS BLVD 2ND FLOOR
VAN NUYS, CA 91405-3937
Phone number: 818-909-5870
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Mailing Address
-- EDWIN KENNETH LEGARRETA
20159 COHASSET ST
WINNETKA, CA 91306-2961
Phone number: 818-267-4241
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