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1750950952
JORDAN HERTZ YLAUAN
LOS ANGELES, CA
NPI
1750950952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 300365)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
JORDAN HERTZ YLAUAN DPT
3617 AVALON BLVD
LOS ANGELES, CA 90011-5601
Phone number: 213-935-8566
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Mailing Address
JORDAN HERTZ YLAUAN DPT
801 GRAMERCY DR APT 602
LOS ANGELES, CA 90005-3407
Phone number: 818-309-8555
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