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1528743101
BRIDGETTE SHANTA ROSS
LOS ANGELES, CA
NPI
1528743101
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Former Name
BRIDGETTE SHANTA ROSS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
BRIDGETTE SHANTA ROSS
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059-3019
Phone number: 424-454-5568
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Mailing Address
BRIDGETTE SHANTA ROSS
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059-3019
Phone number: 424-454-5568
Copy
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