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1447957766
LAQUAJAWAN TAMBOURA LANIER
HUNTINGTON PARK, CA
NPI
1447957766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
LAQUAJAWAN TAMBOURA LANIER
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
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Mailing Address
LAQUAJAWAN TAMBOURA LANIER
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
Copy
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