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1043648645
EDWARD VIVERO
LOS ANGELES, CA
NPI
1043648645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2013-10-17
Last Update Date
2013-10-17
Business Address
Mr. EDWARD VIVERO
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 323-406-5806
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Mailing Address
Mr. EDWARD VIVERO
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 323-406-5806
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