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1265196638
DIANNE REGINA DETOMASO
CULVER CITY, CA
NPI
1265196638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
DIANNE REGINA DETOMASO
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-305-8878
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Mailing Address
DIANNE REGINA DETOMASO
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-305-8878
Copy
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