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1487108916
CONGA SMITH
LOS ANGELES, CA
NPI
1487108916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2016-08-13
Last Update Date
2016-08-13
Business Address
-- CONGA SMITH
4026 6TH AVE
LOS ANGELES, CA 90008-2733
Phone number: 310-614-1152
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Mailing Address
-- CONGA SMITH
4026 6TH AVE
LOS ANGELES, CA 90008-2733
Phone number: 310-614-1152
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