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Individual

MISS AUTUMN NICOLE GAUNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5200 LANKERSHIM BLVD STE 170, NORTH HOLLYWOOD, CA 91601-3184
(213) 216-5473
(213) 216-5473
Mailing address
623 N MADISON AVE, PASADENA, CA 91101-1109
(626) 304-9740

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
06/17/2008
Last updated
05/10/2013
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