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Individual

ASPALTHA CARL BLEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11539 HAWTHORNE BLVD, HAWTHORNE, CA 90250-2325
(310) 263-2154
Mailing address
6211 5TH AVE, LOS ANGELES, CA 90043-4213
(323) 753-2935

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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