ANTONIO TYREE TATE

VAN NUYS, CA
NPI1255451399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2007-03-30
Last Update Date2011-07-08
Business Address
Mr. ANTONIO TYREE TATE
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-535-7076
Mailing Address
Mr. ANTONIO TYREE TATE
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-535-7076
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