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1174796452
TACORA LEGGETT
LOS ANGELES, CA
NPI
1174796452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
-- TACORA LEGGETT
5311 S WESTERN AVENUE
LOS ANGELES, CA 90062
Phone number: 323-299-2111
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Mailing Address
-- TACORA LEGGETT
5311 S WESTERN AVENUE
LOS ANGELES, CA 90062
Phone number: 323-299-2111
Copy
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