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1063860633
JUAN HENRIQUEZ
LOS ANGELES, CA
NPI
1063860633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-05-24
Last Update Date
2016-05-24
Business Address
-- JUAN HENRIQUEZ
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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Mailing Address
-- JUAN HENRIQUEZ
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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