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1275023913
LAURENCE ALBERT HENDRICKSON
LOS ANGELES, CA
NPI
1275023913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-17
Last Update Date
2019-05-29
Business Address
LAURENCE ALBERT HENDRICKSON
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017
Phone number: 213-249-9388
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Mailing Address
LAURENCE ALBERT HENDRICKSON
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
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