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1730760091
JUANITA DIAZ HURTADO
VAN NUYS, CA
NPI
1730760091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-04-19
Last Update Date
2021-06-17
Business Address
JUANITA DIAZ HURTADO
16360 ROSCOE BLVD FL 2
VAN NUYS, CA 91406-1219
Phone number: 818-901-6376
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Mailing Address
JUANITA DIAZ HURTADO
16360 ROSCOE BLVD FL 2
VAN NUYS, CA 91406-1219
Phone number:
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