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1326749896
IRVING FITZGERALD MORENO
LOS ANGELES, CA
NPI
1326749896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-13
Last Update Date
2023-06-19
Business Address
IRVING FITZGERALD MORENO
6762 LEXINGTON AVE
LOS ANGELES, CA 90038-1217
Phone number: 323-380-7590
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Mailing Address
IRVING FITZGERALD MORENO
6762 LEXINGTON AVE
LOS ANGELES, CA 90038-1217
Phone number: 323-380-7590
Copy
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