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Individual

MISS SUSAN TOWNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8581 WALNUT DR, LOS ANGELES, CA 90046-1949
(323) 654-6654
(323) 654-5250
Mailing address
8581 WALNUT DR, LOS ANGELES, CA 90046-1949
(323) 654-6654
(323) 654-5250

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
K0629692
CA

Other

Enumeration date
03/23/2010
Last updated
03/23/2010
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