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1114411600
MICHAEL ANDERSON
SANTA MONICA, CA
NPI
1114411600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-06-18
Last Update Date
2018-06-18
Business Address
MICHAEL ANDERSON
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
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Mailing Address
MICHAEL ANDERSON
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
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