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1245791938
ELIO VARGAS
GARDENA, CA
NPI
1245791938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-26
Last Update Date
2019-11-19
Business Address
Mr. ELIO VARGAS
108 W VICTORIA ST
GARDENA, CA 90248
Phone number: 310-715-2020
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Mailing Address
Mr. ELIO VARGAS
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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