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1457798423
BERT ALLEN MAXWELL
VAN NUYS, CA
NPI
1457798423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-05-30
Last Update Date
2013-05-30
Business Address
Mr. BERT ALLEN MAXWELL
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 818-901-4836
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Mailing Address
Mr. BERT ALLEN MAXWELL
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 818-901-4836
Copy
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