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1497247225
SHANTELE DIANE BLACKMON
LOS ANGELES, CA
NPI
1497247225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
SHANTELE DIANE BLACKMON
5849 CROCKER ST UNIT L
LOS ANGELES, CA 90003-1311
Phone number: 323-234-4445
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Mailing Address
SHANTELE DIANE BLACKMON
5849 CROCKER ST UNIT L
LOS ANGELES, CA 90003-1311
Phone number: 323-234-4445
Copy
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