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1770762130
DARRYL LEE GARDNER
LOS ANGELES, CA
NPI
1770762130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-11-01
Last Update Date
2014-03-11
Business Address
-- DARRYL LEE GARDNER
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 213-488-9559
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Mailing Address
-- DARRYL LEE GARDNER
3137 W 139TH ST 104
HAWTHORNE, CA 90250-7864
Phone number: 213-488-9559
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