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1952147654
MIGUEL OSCAR CABRERA BAZAN
LOS ANGELES, CA
NPI
1952147654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 93059)
Enumeration Date
2024-07-02
Last Update Date
2024-07-18
Business Address
MIGUEL OSCAR CABRERA BAZAN cmt
600 IMOGEN AVE APT 308
LOS ANGELES, CA 90026-3541
Phone number: 323-513-6094
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Mailing Address
MIGUEL OSCAR CABRERA BAZAN cmt
600 IMOGEN AVE APT 308
LOS ANGELES, CA 90026-3541
Phone number: 323-513-6094
Copy
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