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1902004039
LAURIE D FORNASERI
SOUTH PASADENA, CA
NPI
1902004039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-07-10
Last Update Date
2007-08-02
Business Address
-- LAURIE D FORNASERI
625 FAIR OAKS AVE 300
SOUTH PASADENA, CA 91030-2630
Phone number: 626-395-7100
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Mailing Address
-- LAURIE D FORNASERI
9904 BURNET AVE
MISSION HILLS, CA 91345-3010
Phone number:
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