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1831723055
KEANNA LARA
COMMERCE, CA
NPI
1831723055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
KEANNA LARA BS
5800 S EASTERN AVE
COMMERCE, CA 90040-4016
Phone number: 626-423-3194
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Mailing Address
KEANNA LARA BS
5800 S EASTERN AVE
COMMERCE, CA 90040-4016
Phone number: 626-423-3194
Copy
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