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1710201017
CHANTELL LACY ROBERTS
LONG BEACH, CA
NPI
1710201017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-03-16
Last Update Date
2011-03-04
Business Address
-- CHANTELL LACY ROBERTS
490 W 14TH ST
LONG BEACH, CA 90813-2943
Phone number: 562-591-8701
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Mailing Address
-- CHANTELL LACY ROBERTS
490 W 14TH ST
LONG BEACH, CA 90813-2943
Phone number: 562-591-8701
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