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1144907106
LOLA ETHINGTON
SYLMAR, CA
NPI
1144907106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
LOLA ETHINGTON
14129 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 310-221-6336
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Mailing Address
LOLA ETHINGTON
14129 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 310-221-6336
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