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1174145577
CEREINA DIANA ,ANIECE HAWKINS
LOS ANGELES, CA
NPI
1174145577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 699487)
Enumeration Date
2020-05-08
Last Update Date
2020-05-08
Business Address
CEREINA DIANA ,ANIECE HAWKINS lvn
3881 S WESTERN AVE
LOS ANGELES, CA 90062-1105
Phone number: 323-875-6527
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Mailing Address
CEREINA DIANA ,ANIECE HAWKINS lvn
3881 S WESTERN AVE
LOS ANGELES, CA 90062-1105
Phone number: 323-875-6527
Copy
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