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1427517929
CARISSA ANDRADE GONZALES
VAN NUYS, CA
NPI
1427517929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 17728)
Enumeration Date
2019-03-14
Last Update Date
2019-03-14
Business Address
CARISSA ANDRADE GONZALES
16955 VANOWEN ST
VAN NUYS, CA 91406-4542
Phone number: 818-343-0700
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Mailing Address
CARISSA ANDRADE GONZALES
18560 VANOWEN ST UNIT 30
RESEDA, CA 91335-5303
Phone number: 747-998-7677
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