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1740462019
DANA A KANKOLENSKI
HERMOSA BEACH, CA
NPI
1740462019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA PT14125)
Enumeration Date
2007-11-28
Last Update Date
2007-11-28
Business Address
-- DANA A KANKOLENSKI PT
1601 PACIFIC COAST HWY
HERMOSA BEACH, CA 90254-3213
Phone number: 310-698-0770
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Mailing Address
-- DANA A KANKOLENSKI PT
146 LYNDON ST #5
HERMOSA BEACH, CA 90254-5125
Phone number: 310-698-0770
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