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1205225372
IAN GROOMS
LOS ANGELES, CA
NPI
1205225372
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Other Name
IAN GROOMS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 1455)
Enumeration Date
2015-01-13
Last Update Date
2015-01-13
Business Address
IAN GROOMS
3551 W OLYMPIC BLVD
LOS ANGELES, CA 90019-3504
Phone number: 323-732-0350
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Mailing Address
IAN GROOMS
3551 W OLYMPIC BLVD
LOS ANGELES, CA 90019-3504
Phone number: 323-732-0350
Copy
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