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1750474284
SELENA PATRICE IVEY
LOS ANGELES, CA
NPI
1750474284
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Former Name
SELENA PATRICE BURQUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: CA 1687)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Mrs. SELENA PATRICE IVEY RKT
11301 WILSHIRE BOULEVARD
LOS ANGELES, CA 90073
Phone number: 310-478-3711
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Mailing Address
Mrs. SELENA PATRICE IVEY RKT
10346 1/2 RIVERSIDE DRIVE
TOLUCA LAKE, CA 91602
Phone number: 818-823-5227
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