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1205189800
CORY AMBER LUSTIG
LOS ANGELES, CA
NPI
1205189800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-19
Last Update Date
2015-01-05
Business Address
Miss CORY AMBER LUSTIG
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 707-815-7729
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Mailing Address
Miss CORY AMBER LUSTIG
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 707-815-7729
Copy
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