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1255183745
BEVERLY LENORA NETHERLY
LOS ANGELES, CA
NPI
1255183745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
BEVERLY LENORA NETHERLY
510 S VERMONT AVE FL 19
LOS ANGELES, CA 90020-1912
Phone number: 213-948-2311
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Mailing Address
BEVERLY LENORA NETHERLY
510 S VERMONT AVE FL 19
LOS ANGELES, CA 90020-1912
Phone number: 213-948-2311
Copy
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