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1134710098
JAYSHELL RANDALE HOLTS
LOS ANGELES, CA
NPI
1134710098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-02-02
Last Update Date
2021-02-02
Business Address
Mr. JAYSHELL RANDALE HOLTS
2122 W 107TH ST
LOS ANGELES, CA 90047-4305
Phone number: 323-696-9749
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Mailing Address
Mr. JAYSHELL RANDALE HOLTS
2122 W 107TH ST
LOS ANGELES, CA 90047-4305
Phone number: 323-696-9749
Copy
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