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1750752119
CHANEL IRVING
FULLERTON, CA
NPI
1750752119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-10-12
Last Update Date
2015-10-12
Business Address
-- CHANEL IRVING
801 E CHAPMAN AVE SUITE 203
FULLERTON, CA 92831-3839
Phone number: 714-680-9000
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Mailing Address
-- CHANEL IRVING
PO BOX 919
FULLERTON, CA 92836-0919
Phone number: 714-680-9000
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