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1154657674
RUSSELLIE MONIQUE BONGOLAN
LOS ANGELES, CA
NPI
1154657674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2009-10-19
Last Update Date
2011-06-28
Business Address
Miss RUSSELLIE MONIQUE BONGOLAN
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
Miss RUSSELLIE MONIQUE BONGOLAN
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
Copy
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