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1245090745
MARCO ANTONIO
LOS ANGELES, CA
NPI
1245090745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 91285)
Enumeration Date
2024-03-21
Last Update Date
2024-03-22
Business Address
MARCO ANTONIO
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049-5106
Phone number: 925-476-1767
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Mailing Address
MARCO ANTONIO
3020 ROWENA AVE APT 102
LOS ANGELES, CA 90039-2081
Phone number: 818-209-0336
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