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1730486069
TANIA ANN GEDNOV
LONG BEACH, CA
NPI
1730486069
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Former Name
TANIA ANN KRYWCUN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA OT0129)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
-- TANIA ANN GEDNOV OTR/L
5901 E 7TH ST BLDG. 150, OT DEPT, BASEMENT
LONG BEACH, CA 90822-5201
Phone number: 562-493-3545
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Mailing Address
-- TANIA ANN GEDNOV OTR/L
11912 CHERRY ST
LOS ALAMITOS, CA 90720-4106
Phone number: 562-493-3545
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