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1275730681
SAMOAN SAN
LOS ANGELES, CA
NPI
1275730681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- SAMOAN SAN
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015-1475
Phone number: 213-553-1884
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Mailing Address
-- SAMOAN SAN
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015-1475
Phone number: 213-553-1884
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