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1154695211
LANTHIA DOUGLAS
VENICE, CA
NPI
1154695211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-03-06
Last Update Date
2019-10-30
Business Address
LANTHIA DOUGLAS
204 HAMPTON DR
VENICE, CA 90291-8633
Phone number: 310-309-6001
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Mailing Address
LANTHIA DOUGLAS
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 238-405-8563
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