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1538543053
VASTI EMPERATRIZ
LONG BEACH, CA
NPI
1538543053
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Former Name
VASTI BLAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA AT 6553)
Enumeration Date
2015-07-14
Last Update Date
2015-07-14
Business Address
-- VASTI EMPERATRIZ PTA
330 GOLDEN SHR 250
LONG BEACH, CA 90802-4246
Phone number: 866-414-0448
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Mailing Address
-- VASTI EMPERATRIZ PTA
330 GOLDEN SHR 250
LONG BEACH, CA 90802-4246
Phone number: 866-414-0448
Copy
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