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1336728005
MIKA DIANE NAGAMOTO
PACOIMA, CA
NPI
1336728005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2021-04-07
Last Update Date
2021-06-09
Business Address
MIKA DIANE NAGAMOTO
12450 VAN NUYS BLVD STE 200
PACOIMA, CA 91331-1393
Phone number: 818-896-1161
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Mailing Address
MIKA DIANE NAGAMOTO
12450 VAN NUYS BLVD STE 200
PACOIMA, CA 91331-1393
Phone number: 818-896-1161
Copy
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