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1093218752
LYNNETTE TUCKER
LOS ANGELES, CA
NPI
1093218752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
Ms. LYNNETTE TUCKER
3434 W 77TH ST
LOS ANGELES, CA 90043-4904
Phone number: 310-650-8628
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Mailing Address
Ms. LYNNETTE TUCKER
3434 W 77TH ST
LOS ANGELES, CA 90043-4904
Phone number: 310-650-8628
Copy
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