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1770990558
EILEEN VILLANUEVA JOHNSON
LOS ANGELES, CA
NPI
1770990558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 40692)
Enumeration Date
2014-07-14
Last Update Date
2023-11-27
Business Address
EILEEN VILLANUEVA JOHNSON
1640 MARENGO ST # ST102
LOS ANGELES, CA 90033-1036
Phone number: 323-865-1200
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Mailing Address
EILEEN VILLANUEVA JOHNSON
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-1200
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