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1275243958
ANGELIQUE N DAVIS
VAN NUYS, CA
NPI
1275243958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: CA A9620386)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
ANGELIQUE N DAVIS
6501 VAN NUYS BLVD STE 103
VAN NUYS, CA 91401-1425
Phone number: 818-902-5315
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Mailing Address
ANGELIQUE N DAVIS
6501 VAN NUYS BLVD STE 103
VAN NUYS, CA 91401-1425
Phone number: 818-902-5315
Copy
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