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1093066276
JAQUELINE HUERTA
LOS ANGELES, CA
NPI
1093066276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-09-27
Last Update Date
2012-09-27
Business Address
Miss JAQUELINE HUERTA
1665 W ADAMS BLVD
LOS ANGELES, CA 90007-1533
Phone number: 323-731-3534
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Mailing Address
Miss JAQUELINE HUERTA
1918 ECHO PARK AVE
LOS ANGELES, CA 90026-1836
Phone number: 323-605-6186
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