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1609402759
DIANA OFELIA HUERTA
PASADENA, CA
NPI
1609402759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-03-20
Last Update Date
2020-03-20
Business Address
DIANA OFELIA HUERTA BA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-255-0978
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Mailing Address
DIANA OFELIA HUERTA BA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-255-0978
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