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1396360947
EVAN VIDAL
TORRANCE, CA
NPI
1396360947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 20A22605)
Enumeration Date
2020-06-10
Last Update Date
2024-09-24
Business Address
EVAN VIDAL DO
1000 W CARSON ST
TORRANCE, CA 90502-2004
Phone number: 310-222-3891
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Mailing Address
EVAN VIDAL DO
1000 W CARSON ST
TORRANCE, CA 90502-2004
Phone number: 310-222-3891
Copy
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