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1619591997
LEVI CARL WADE
PASADENA, CA
NPI
1619591997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-06-03
Last Update Date
2020-06-26
Business Address
Mr. LEVI CARL WADE
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 626-798-6793
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Mailing Address
Mr. LEVI CARL WADE
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 626-798-6793
Copy
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