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1326555301
BETTY LETICIA CERVANTES
GARDENA, CA
NPI
1326555301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-12-29
Last Update Date
2017-12-29
Business Address
BETTY LETICIA CERVANTES
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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Mailing Address
BETTY LETICIA CERVANTES
16700 MARYGOLD AVE APT 145
FONTANA, CA 92335-6659
Phone number: 626-500-6185
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