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1043677289
KITA STOVALL
LOS ANGELES, CA
NPI
1043677289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 586627)
Enumeration Date
2016-01-19
Last Update Date
2018-06-05
Business Address
Miss KITA STOVALL
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Phone number: 562-295-4617
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Mailing Address
Miss KITA STOVALL
5957 W 75TH ST
LOS ANGELES, CA 90045-1609
Phone number: 310-567-0037
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