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1750021077
ANDY BA LY
LOS ANGELES, CA
NPI
1750021077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
ANDY BA LY
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
ANDY BA LY
131 W TILLER AVE
ANAHEIM, CA 92802-4834
Phone number: 817-798-2675
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