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1073914198
LA QUANDA WILSON
LONG BEACH, CA
NPI
1073914198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-09-08
Last Update Date
2014-09-08
Business Address
-- LA QUANDA WILSON
4300 LONG BEACH BLVD STE 700
LONG BEACH, CA 90807-2000
Phone number: 310-783-4677
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Mailing Address
-- LA QUANDA WILSON
9564 MAIE AVE
LOS ANGELES, CA 90002-2349
Phone number: 310-597-3779
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