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1801825047
ELAINE M FAVOR
HUNTINGTON BEACH, CA
NPI
1801825047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA PT 9448)
Enumeration Date
2006-07-01
Last Update Date
2007-07-08
Business Address
Ms. ELAINE M FAVOR PT
7442 COHO DR #107
HUNTINGTON BEACH, CA 92648-2431
Phone number: 714-803-2576
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Mailing Address
Ms. ELAINE M FAVOR PT
7442 COHO DR #107
HUNTINGTON BEACH, CA 92648-2431
Phone number: 714-803-2576
Copy
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