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1780109991
AUDRA DENISE CARLOS
VAN NUYS, CA
NPI
1780109991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-08-08
Last Update Date
2017-08-08
Business Address
Ms. AUDRA DENISE CARLOS
6501 VAN NUYS BLVD STE 103
VAN NUYS, CA 91401-1425
Phone number: 818-902-5315
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Mailing Address
Ms. AUDRA DENISE CARLOS
6717 FULTON AVE APT 4
VALLEY GLEN, CA 91401-1226
Phone number: 818-263-3724
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