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1205617933
JEWEL ILLIS
LANCASTER, CA
NPI
1205617933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
JEWEL ILLIS
2657 E NUGENT ST
LANCASTER, CA 93535-1768
Phone number: 661-604-2015
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Mailing Address
JEWEL ILLIS
2657 E NUGENT ST
LANCASTER, CA 93535-1768
Phone number:
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