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1437635075
KEYOKA L WADE
VAN NUYS, CA
NPI
1437635075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
KEYOKA L WADE
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-859-5120
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Mailing Address
KEYOKA L WADE
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-859-5120
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