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1154816460
CRYSTAL CLARK
LOS ANGELES, CA
NPI
1154816460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-28
Last Update Date
2021-03-01
Business Address
CRYSTAL CLARK
631 MAPLE AVE
LOS ANGELES, CA 90014-2211
Phone number: 213-673-3059
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Mailing Address
CRYSTAL CLARK
631 MAPLE AVE
LOS ANGELES, CA 90014-2211
Phone number: 213-673-3059
Copy
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