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1538613591
LUIS LARA
VAN NUYS, CA
NPI
1538613591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-08-08
Last Update Date
2023-09-06
Business Address
LUIS LARA
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-270-5859
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Mailing Address
LUIS LARA
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-267-2681
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