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1205232303
LUIS MERCADO
VENICE, CA
NPI
1205232303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-11-17
Last Update Date
2014-11-17
Business Address
-- LUIS MERCADO
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
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Mailing Address
-- LUIS MERCADO
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
Copy
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