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1972014496
ANDREA VILLAVICENCIO
COMMERCE, CA
NPI
1972014496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
ANDREA VILLAVICENCIO
6055 E WASHINGTON BLVD STE 900
COMMERCE, CA 90040-2453
Phone number: 323-346-0960
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Mailing Address
ANDREA VILLAVICENCIO
638 BAY VIEW AVE
WILMINGTON, CA 90744-5379
Phone number:
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