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1417147364
TISLA WHITE
GARDENA, CA
NPI
1417147364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 26773)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
-- TISLA WHITE
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247-3511
Phone number: 310-538-6598
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Mailing Address
-- TISLA WHITE
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247-3511
Phone number:
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