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1801927421
CHRISTIAN ANDRES MELLIBOSKY
LOS ANGELES, CA
NPI
1801927421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 14593)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mr. CHRISTIAN ANDRES MELLIBOSKY rpt
909 LUCILE AVE
LOS ANGELES, CA 90026-1511
Phone number: 323-663-8281
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Mailing Address
Mr. CHRISTIAN ANDRES MELLIBOSKY rpt
19573 PINE VALLEY AVE
NORTHRIDGE, CA 91326-1465
Phone number: 818-723-0724
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