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1184899379
SUSAN MEDINA
LA PUENTE, CA
NPI
1184899379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-04-28
Last Update Date
2010-08-30
Business Address
Ms. SUSAN MEDINA
160 S 7TH AVE
LA PUENTE, CA 91746-3211
Phone number: 626-626-4200
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Mailing Address
Ms. SUSAN MEDINA
PO BOX 706
BURBANK, CA 91503-0706
Phone number: 626-826-9910
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