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1447999651
CHRISTIAN BANTASAN
LOS ANGELES, CA
NPI
1447999651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 48983)
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2022-06-03
Last Update Date
2022-12-06
Business Address
CHRISTIAN BANTASAN
6080 CENTER DR. 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045
Phone number: 888-859-0145
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Mailing Address
CHRISTIAN BANTASAN
PO BOX 1295
VENICE, CA 90294-1295
Phone number:
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