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1356006837
AVERY VICE
LOS ANGELES, CA
NPI
1356006837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT22803)
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
AVERY VICE OTR/L
5154 W SUNSET BLVD
LOS ANGELES, CA 90027-5708
Phone number: 323-663-3951
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Mailing Address
AVERY VICE OTR/L
437 S HILL ST APT 834
LOS ANGELES, CA 90013-2765
Phone number: 443-641-4274
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