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1225448400
ELTON JOHN PENN
LOS ANGELES, CA
NPI
1225448400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-04-28
Last Update Date
2014-04-28
Business Address
Mr. ELTON JOHN PENN
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 213-488-9559
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Mailing Address
Mr. ELTON JOHN PENN
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 213-488-9559
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