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1861950107
ANNABELLE DAVINA MAMAN
LOS ANGELES, CA
NPI
1861950107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 41599)
Enumeration Date
2019-03-05
Last Update Date
2019-03-05
Business Address
ANNABELLE DAVINA MAMAN DPT
8830 S SEPULVEDA BLVD
LOS ANGELES, CA 90045-4833
Phone number: 310-666-9003
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Mailing Address
ANNABELLE DAVINA MAMAN DPT
1850 MANGO WAY
LOS ANGELES, CA 90049-2204
Phone number: 310-409-7283
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