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1447678636
EVAN PARK
PASADENA, CA
NPI
1447678636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-04-03
Last Update Date
2014-04-03
Business Address
-- EVAN PARK
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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Mailing Address
-- EVAN PARK
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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