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1508562067
MICHAEL VINCENT ROTHBERG
LOS ANGELES, CA
NPI
1508562067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
MICHAEL VINCENT ROTHBERG
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-4331
Phone number: 310-825-6373
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Mailing Address
MICHAEL VINCENT ROTHBERG
12625 PACIFIC AVE APT 4
LOS ANGELES, CA 90066-4331
Phone number: 310-498-2991
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