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1386129302
ANTONIO LAVERMON
LONG BEACH, CA
NPI
1386129302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
ANTONIO LAVERMON
2017 E 4TH ST
LONG BEACH, CA 90814-1001
Phone number: 156-243-4445
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Mailing Address
ANTONIO LAVERMON
2017 E 4TH ST
LONG BEACH, CA 90814-1001
Phone number: 156-243-4445
Copy
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