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1386986370
ADA L MANCILLA
NORWALK, CA
NPI
1386986370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-03-18
Last Update Date
2013-03-18
Business Address
-- ADA L MANCILLA
12440 IMPERIAL HWY
NORWALK, CA 90650-3177
Phone number: 562-565-6559
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Mailing Address
-- ADA L MANCILLA
4605 E 52ND PL
MAYWOOD, CA 90270-2416
Phone number:
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