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1992135891
SHELLEY TAJI
DOWNEY, CA
NPI
1992135891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: CA CO 1573)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
-- SHELLEY TAJI
7601 IMPERIAL HWY
DOWNEY, CA 90242-3456
Phone number: 562-401-8115
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Mailing Address
-- SHELLEY TAJI
7601 E. IMPERIAL HWY 900 ANNEX A
DOWNEY, CA 90242-3456
Phone number: 562-401-8115
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