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1962984385
BREANDA BANOTH
VAN NUYS, CA
NPI
1962984385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-08-31
Last Update Date
2018-08-31
Business Address
BREANDA BANOTH
14624 SHERMAN WAY STE 404
VAN NUYS, CA 91405-2289
Phone number: 818-778-5406
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Mailing Address
BREANDA BANOTH
14624 SHERMAN WAY STE 404
VAN NUYS, CA 91405-2289
Phone number:
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