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1013112556
HOLLY LUCILLE
WEST HOLLYWOOD, CA
NPI
1013112556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA ND-70)
Enumeration Date
2007-06-15
Last Update Date
2018-03-17
Business Address
HOLLY LUCILLE N.D.
7235 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046-6724
Phone number: 323-658-9151
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Mailing Address
HOLLY LUCILLE N.D.
900 N CROFT AVE APT 4
LOS ANGELES, CA 90069-4298
Phone number: 310-709-6519
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