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1568884195
RICHARD VILLAVICENCIO
VAN NUYS, CA
NPI
1568884195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-01-16
Last Update Date
2014-01-16
Business Address
-- RICHARD VILLAVICENCIO
14515 HAMLIN ST #102
VAN NUYS, CA 91411-1608
Phone number: 818-989-7475
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Mailing Address
-- RICHARD VILLAVICENCIO
14515 HAMLIN ST #102
VAN NUYS, CA 91411-1608
Phone number: 818-989-7475
Copy
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