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1659403483
THOMAS JACK LASATER
VAN NUYS, CA
NPI
1659403483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-09
Last Update Date
2012-04-05
Business Address
-- THOMAS JACK LASATER
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 323-691-7668
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Mailing Address
-- THOMAS JACK LASATER
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 323-691-7668
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