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1245638857
SHIELA N URSO
VAN NUYS, CA
NPI
1245638857
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Former Name
SHIELA N MANTONYA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-12-12
Last Update Date
2014-12-12
Business Address
-- SHIELA N URSO
14515 HAMLIN ST SUITE 102
VAN NUYS, CA 91411-1608
Phone number: 818-989-7475
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Mailing Address
-- SHIELA N URSO
14515 HAMLIN ST SUITE 102
VAN NUYS, CA 91411-1608
Phone number: 818-989-7475
Copy
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