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1134695356
GABRIELA CASILLAS LICEAGA
LOS ANGELES, CA
NPI
1134695356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
GABRIELA CASILLAS LICEAGA
3881 S WESTERN AVE
LOS ANGELES, CA 90062-1105
Phone number: 213-639-2681
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Mailing Address
GABRIELA CASILLAS LICEAGA
3881 S WESTERN AVE
LOS ANGELES, CA 90062-1105
Phone number: 213-639-2681
Copy
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