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1699414284
BENNETT TABARACCI
LOS ANGELES, CA
NPI
1699414284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-06-01
Last Update Date
2023-09-22
Business Address
BENNETT TABARACCI DPT
1640 MARENGO ST STE 102
LOS ANGELES, CA 90033-1061
Phone number: 323-865-1200
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Mailing Address
BENNETT TABARACCI DPT
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 626-457-6601
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