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1871931220
DEBRA ISHAM
COVINA, CA
NPI
1871931220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
-- DEBRA ISHAM
1126 N GRAND AVE
COVINA, CA 91724-1551
Phone number: 626-967-1667
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Mailing Address
-- DEBRA ISHAM
615 LEMAR PARK DR APT. B
GLENDORA, CA 91740-4432
Phone number: 626-905-0848
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