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1861024366
KRISTA SHALEE LOOMIS TAN
WESTLAKE VILLAGE, CA
NPI
1861024366
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Former Name
KRISTA SHALEE LOOMIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 26407)
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
KRISTA SHALEE LOOMIS TAN PT
31248 OAK CREST DR STE 120
WESTLAKE VILLAGE, CA 91361-5673
Phone number: 818-926-9057
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Mailing Address
KRISTA SHALEE LOOMIS TAN PT
7215 W 83RD ST
LOS ANGELES, CA 90045-2518
Phone number: 310-665-0908
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