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1053003194
MARIA GUADALUPE CARRILLO
LOS ANGELES, CA
NPI
1053003194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-25
Last Update Date
2023-06-13
Business Address
MARIA GUADALUPE CARRILLO
1200 VENICE BLVD
LOS ANGELES, CA 90006-5518
Phone number: 323-233-0425
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Mailing Address
MARIA GUADALUPE CARRILLO
4211 AVALON BLVD
LOS ANGELES, CA 90011-5699
Phone number: 323-233-0425
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