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1508319161
STEPHANIE DEFONSE ANDRE
LOS ANGELES, CA
NPI
1508319161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 280535)
Enumeration Date
2016-08-01
Last Update Date
2016-08-01
Business Address
-- STEPHANIE DEFONSE ANDRE
3223 W 73RD ST
LOS ANGELES, CA 90043-5037
Phone number: 310-576-1308
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Mailing Address
-- STEPHANIE DEFONSE ANDRE
3223 W 73RD ST
LOS ANGELES, CA 90043-5037
Phone number: 310-576-1308
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