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1144401829
LUKE SMILE EAGLE
LOS ANGELES, CA
NPI
1144401829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: CA MTA32504)
Enumeration Date
2007-11-21
Last Update Date
2007-11-21
Business Address
Mr. LUKE SMILE EAGLE CLS
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
Mr. LUKE SMILE EAGLE CLS
424 E AVENUE J11
LANCASTER, CA 93535-4012
Phone number: 661-945-6735
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