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1538739552
ELVY ADALIE FUENTES
GARDENA, CA
NPI
1538739552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 22453)
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
ELVY ADALIE FUENTES
1203 W GARDENA BLVD APT B
GARDENA, CA 90247-5056
Phone number: 310-982-3623
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Mailing Address
ELVY ADALIE FUENTES
1203 W GARDENA BLVD APT B
GARDENA, CA 90247-5056
Phone number:
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