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1780206318
AMANDA NICOLE HUSTED
LOS ANGELES, CA
NPI
1780206318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 21854)
Enumeration Date
2020-05-18
Last Update Date
2020-12-01
Business Address
AMANDA NICOLE HUSTED
2121 W TEMPLE ST
LOS ANGELES, CA 90026-4915
Phone number: 213-385-5100
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Mailing Address
AMANDA NICOLE HUSTED
1721 GRIFFIN AVE
LOS ANGELES, CA 90031-3312
Phone number: 323-810-1062
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