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1215682380
ANTONIO DE JESUS QUEZADA
LOS ANGELES, CA
NPI
1215682380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-02-17
Last Update Date
2022-02-17
Business Address
ANTONIO DE JESUS QUEZADA ACSW
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-993-7629
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Mailing Address
ANTONIO DE JESUS QUEZADA ACSW
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-993-7629
Copy
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