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1164018347
RAYMOND TEAGUE
LOS ANGELES, CA
NPI
1164018347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
RAYMOND TEAGUE
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 323-948-0444
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Mailing Address
RAYMOND TEAGUE
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 323-948-0444
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