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1912627084
JODY BIVIANS
LOS ANGELES, CA
NPI
1912627084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
JODY BIVIANS
8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
Phone number: 323-586-7333
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Mailing Address
JODY BIVIANS
8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
Phone number: 323-586-7333
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