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1134488109
KANANI ELIZABETH LEIATAUA
FULLERTON, CA
NPI
1134488109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA D1151627)
Enumeration Date
2012-05-11
Last Update Date
2012-05-11
Business Address
-- KANANI ELIZABETH LEIATAUA
100 E VALLEY VIEW DR
FULLERTON, CA 92832-1321
Phone number: 714-680-9000
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Mailing Address
-- KANANI ELIZABETH LEIATAUA
145 W WHITING AVE UNIT F
FULLERTON, CA 92832-1464
Phone number: 714-722-1599
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