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1760604789
PATRICIA BLACK
NORTHRIDGE, CA
NPI
1760604789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: CA IMF 45283)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- PATRICIA BLACK
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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Mailing Address
-- PATRICIA BLACK
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number:
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