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1114100930
LAWRENCE GOV
LONG BEACH, CA
NPI
1114100930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-12-14
Last Update Date
2007-12-14
Business Address
-- LAWRENCE GOV
6950 LAKE AVE
LONG BEACH, CA 90805-1827
Phone number: 562-253-3648
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Mailing Address
-- LAWRENCE GOV
6950 LAKE AVE
LONG BEACH, CA 90805-1827
Phone number:
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