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1972848422
VINTHIA WIRYANANDA WIRANTANA
LONG BEACH, CA
NPI
1972848422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-12-10
Last Update Date
2013-05-22
Business Address
-- VINTHIA WIRYANANDA WIRANTANA
100 W BROADWAY SUITE 5010
LONG BEACH, CA 90802-4431
Phone number: 562-285-1330
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Mailing Address
-- VINTHIA WIRYANANDA WIRANTANA
100 W BROADWAY STE 5010
LONG BEACH, CA 90802-9409
Phone number: 626-285-1330
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