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1235675117
LARRY SKUBAL
ANAHEIM, CA
NPI
1235675117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
(Licence: CA AT3595)
Enumeration Date
2017-01-16
Last Update Date
2017-01-16
Business Address
Mr. LARRY SKUBAL PTA
861 S HARBOR BLVD
ANAHEIM, CA 92805-5157
Phone number: 714-635-8131
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Mailing Address
Mr. LARRY SKUBAL PTA
10141 KAIMU DR
HUNTINGTON BEACH, CA 92646-2508
Phone number: 714-357-0333
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