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1972992667
MARTIN LAGO
LOS ANGELES, CA
NPI
1972992667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 3001)
Enumeration Date
2015-01-18
Last Update Date
2015-01-18
Business Address
MARTIN LAGO
5310 FOUNTAIN AVE
LOS ANGELES, CA 90029-1005
Phone number: 323-461-9961
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Mailing Address
MARTIN LAGO
405 N MADISON AVE UNIT 9
PASADENA, CA 91101-1439
Phone number:
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