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1942848759
EDNER BANAL ESTRELLA
GLENDALE, CA
NPI
1942848759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 3824)
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
EDNER BANAL ESTRELLA
201 ALLEN AVE
GLENDALE, CA 91201-2803
Phone number: 818-845-8507
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Mailing Address
EDNER BANAL ESTRELLA
24307 VERDUGO CIR
VALENCIA, CA 91354-4401
Phone number:
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