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Individual

BUNNIE HOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-3536
(626) 254-5043
Mailing address
460 W DORAN ST, APT #123, GLENDALE, CA 91203-1757
(818) 859-9897

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/06/2011
Last updated
05/06/2011
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