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1740212356
AILENE BUNDALIAN RIVERA
LOS ANGELES, CA
NPI
1740212356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: CA PT28631)
Enumeration Date
2006-07-06
Last Update Date
2020-01-12
Business Address
AILENE BUNDALIAN RIVERA RPT
1711 W TEMPLE ST # 2056
LOS ANGELES, CA 90026-5421
Phone number: 818-634-6328
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Mailing Address
AILENE BUNDALIAN RIVERA RPT
11024 BALBOA BLVD 504
GRANADA HILLS, CA 91344-5007
Phone number: 818-634-6328
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