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1407345556
NOLAN DE LUNA
RESEDA, CA
NPI
1407345556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 49291)
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
NOLAN DE LUNA PTA
7120 CORBIN AVE
RESEDA, CA 91335-3618
Phone number: 818-881-4540
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Mailing Address
NOLAN DE LUNA PTA
1453 BLACKSTOCK AVE
SIMI VALLEY, CA 93065-3907
Phone number: 805-231-6708
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