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1679953616
OLIVA LICEA
GARDENA, CA
NPI
1679953616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
-- OLIVA LICEA
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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Mailing Address
-- OLIVA LICEA
4312 W 180TH ST APT 7
TORRANCE, CA 90504-3641
Phone number: 310-508-5529
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