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1689805921
MARY LICIAGA
LOS ANGELES, CA
NPI
1689805921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2009-08-04
Last Update Date
2009-08-04
Business Address
-- MARY LICIAGA
3609 HUGHES AVE
LOS ANGELES, CA 90034-3910
Phone number: 310-836-1223
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Mailing Address
-- MARY LICIAGA
3609 HUGHES AVE
LOS ANGELES, CA 90034-3910
Phone number:
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