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1588121362
LAYNE SEICHI WAKUTA
GARDENA, CA
NPI
1588121362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2019-02-27
Last Update Date
2020-07-15
Business Address
Mr. LAYNE SEICHI WAKUTA
1670 W 162ND ST
GARDENA, CA 90247-3734
Phone number: 310-483-8198
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Mailing Address
Mr. LAYNE SEICHI WAKUTA
1670 W. 162ND ST
GARDENA, CA 90247
Phone number: 310-217-9537
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