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1619156197
ROSA DAVITAN
LOS ANGELES, CA
NPI
1619156197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: CA 000203078800010)
Enumeration Date
2007-10-31
Last Update Date
2007-11-01
Business Address
-- ROSA DAVITAN
4369 S VAN NESS AVE
LOS ANGELES, CA 90062-1454
Phone number: 323-292-3558
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Mailing Address
-- ROSA DAVITAN
4369 S VAN NESS AVE
LOS ANGELES, CA 90062-1454
Phone number: 323-292-3558
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