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1013247907
DIANA VIVIAN OVANDO-LOPEZ
COSTA MESA, CA
NPI
1013247907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA D6639220)
Enumeration Date
2009-12-28
Last Update Date
2009-12-28
Business Address
Miss DIANA VIVIAN OVANDO-LOPEZ
3188 AIRWAY AVE STE F
COSTA MESA, CA 92626-4652
Phone number: 714-689-1380
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Mailing Address
Miss DIANA VIVIAN OVANDO-LOPEZ
3188 AIRWAY AVE UNIT F
COSTA MESA, CA 92626-4652
Phone number: 714-689-1380
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