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1497997639
DALLAS VERNON
COMMERCE, CA
NPI
1497997639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2009-04-02
Last Update Date
2009-04-02
Business Address
-- DALLAS VERNON
6055 E WASHINGTON BLVD SUITE 900
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
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Mailing Address
-- DALLAS VERNON
7135 ISLAND VILLAGE DR
LONG BEACH, CA 90803-4306
Phone number: 562-714-0406
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