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1003513557
MARISSA LEE LUBAG
LOS ANGELES, CA
NPI
1003513557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-02-14
Last Update Date
2023-09-19
Business Address
MARISSA LEE LUBAG
1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033-1064
Phone number: 310-221-6336
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Mailing Address
MARISSA LEE LUBAG
1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033-1064
Phone number: 310-221-6336
Copy
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