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1093335887
TERREVIA LA SHAWN BUCK
LOS ANGELES, CA
NPI
1093335887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: CA RN487145)
Enumeration Date
2020-04-21
Last Update Date
2020-04-21
Business Address
Ms. TERREVIA LA SHAWN BUCK RN
1423 W 66TH ST
LOS ANGELES, CA 90047-2011
Phone number: 323-920-4856
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Mailing Address
Ms. TERREVIA LA SHAWN BUCK RN
1423 W 66TH ST
LOS ANGELES, CA 90047-2011
Phone number: 323-920-4856
Copy
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