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1013766641
IDELLE CARMONA
LOS ANGELES, CA
NPI
1013766641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-05-15
Last Update Date
2024-05-17
Business Address
IDELLE CARMONA
11601 S WESTERN AVE
LOS ANGELES, CA 90047-5006
Phone number: 323-242-5000
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Mailing Address
IDELLE CARMONA
11601 S WESTERN AVE
LOS ANGELES, CA 90047-5006
Phone number: 323-242-5000
Copy
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