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Individual

MR. JOHN B CHEBULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
12304 SANTA MONICA BLVD, SUITE 300, W LOS ANGELES, CA 90025-2551
(310) 288-1650
Mailing address
12304 SANTA MONICA BLVD, SUITE 300, W LOS ANGELES, CA 90025-2551
(310) 288-1650

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
46038
CA

Other

Enumeration date
09/10/2007
Last updated
09/10/2007
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