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1518795764
ERIC BUSIASHVILI
ENCINO, CA
NPI
1518795764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306294)
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
ERIC BUSIASHVILI DPT
16573 VENTURA BLVD STE 5
ENCINO, CA 91436-2021
Phone number: 818-990-0868
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Mailing Address
ERIC BUSIASHVILI DPT
10787 WILSHIRE BLVD APT 401
LOS ANGELES, CA 90024-7339
Phone number: 310-804-0082
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