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1417219965
CONAN BENALLIE
LOS ANGELES, CA
NPI
1417219965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-06-11
Last Update Date
2013-06-12
Business Address
-- CONAN BENALLIE
1125 W 6TH ST
LOS ANGELES, CA 90017-1833
Phone number: 213-202-3970
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Mailing Address
-- CONAN BENALLIE
1125 W 6TH ST
LOS ANGELES, CA 90017-1833
Phone number: 213-202-3970
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