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1255458857
ADRIAN LICON-CARRILLO
LOS ANGELES, CA
NPI
1255458857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-26
Last Update Date
2011-08-01
Business Address
-- ADRIAN LICON-CARRILLO
711 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005-1831
Phone number: 213-385-5100
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Mailing Address
-- ADRIAN LICON-CARRILLO
1303 SANBORN AVE
LOS ANGELES, CA 90027-1509
Phone number: 213-385-5100
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