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1437283439
OMARU KEKETOMA FULLAH
LOS ANGELES, CA
NPI
1437283439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-14
Last Update Date
2017-01-23
Business Address
-- OMARU KEKETOMA FULLAH
8730 S VERMONT AVE
LOS ANGELES, CA 90044-4830
Phone number: 323-751-3026
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Mailing Address
-- OMARU KEKETOMA FULLAH
8730 S VERMONT AVE
LOS ANGELES, CA 90044-4830
Phone number: 323-752-3026
Copy
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