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1881234342
IVAN GAVIDIA
TORRANCE, CA
NPI
1881234342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
IVAN GAVIDIA
19401 S VERMONT AVE # L102
TORRANCE, CA 90502-1029
Phone number: 310-323-6887
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Mailing Address
IVAN GAVIDIA
19401 S VERMONT AVE # L102
TORRANCE, CA 90502-1029
Phone number: 310-323-6887
Copy
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