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1053546093
LIGHTHOUSE COMMUNITY OUTREACH, INC.
LOS ANGELES, CA
NPI
1053546093
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Entity Type
Organization
Authorized Contact
SHELLY KAY BYNUM
Executuve Director
323-401-7600
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2009-05-20
Last Update Date
2009-05-20
Business Address
LIGHTHOUSE COMMUNITY OUTREACH, INC.
1968 E 103RD ST
LOS ANGELES, CA 90002-3124
Phone number: 323-567-2285
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Mailing Address
LIGHTHOUSE COMMUNITY OUTREACH, INC.
1976 E 103RD ST
LOS ANGELES, CA 90002-3124
Phone number: 323-567-2285
Copy
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