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1104671031
EVANGELIA LY
PACOIMA, CA
NPI
1104671031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
EVANGELIA LY
12450 VAN NUYS BLVD STE 200
PACOIMA, CA 91331-1393
Phone number: 818-896-1161
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Mailing Address
EVANGELIA LY
12450 VAN NUYS BLVD STE 200
PACOIMA, CA 91331-1393
Phone number: 818-896-1161
Copy
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