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1528788825
MIREYA ONTIVEROS
HUNTINGTON PARK, CA
NPI
1528788825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
MIREYA ONTIVEROS
2629 CLARENDON AVE
HUNTINGTON PARK, CA 90255-4119
Phone number: 323-584-3700
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Mailing Address
MIREYA ONTIVEROS
1232 E 60TH ST
LOS ANGELES, CA 90001-1120
Phone number: 323-584-3700
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