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1487212080
ANNA TAYEKO SUSKIN
LOS ANGELES, CA
NPI
1487212080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT296986)
Enumeration Date
2019-05-30
Last Update Date
2019-08-16
Business Address
ANNA TAYEKO SUSKIN
1640 MARENGO STREET HRA 102
LOS ANGELES, CA 90089-3603
Phone number: 323-865-1200
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Mailing Address
ANNA TAYEKO SUSKIN
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-1200
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