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1336565407
VAN ;E
COMMERCE, CA
NPI
1336565407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-03-12
Last Update Date
2014-03-12
Business Address
-- VAN ;E
6055 E WASHINGTON BLVD SUITE 900
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
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Mailing Address
-- VAN ;E
6055 E WASHINGTON BLVD SUITE 900
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
Copy
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