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1255451399
ANTONIO TYREE TATE
VAN NUYS, CA
NPI
1255451399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-30
Last Update Date
2011-07-08
Business Address
Mr. ANTONIO TYREE TATE
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-535-7076
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Mailing Address
Mr. ANTONIO TYREE TATE
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-535-7076
Copy
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