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1750934279
CARLOS MINA
GLENDALE, CA
NPI
1750934279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
CARLOS MINA
920 E BROADWAY
GLENDALE, CA 91205-1204
Phone number: 818-268-3418
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Mailing Address
CARLOS MINA
920 E BROADWAY
GLENDALE, CA 91205-1204
Phone number: 818-268-3418
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