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1548657489
LEISY B PONCE
TARZANA, CA
NPI
1548657489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-04-17
Last Update Date
2017-02-13
Business Address
Miss LEISY B PONCE
18700 OXNARD ST
TARZANA, CA 91356-1413
Phone number: 818-996-1051
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Mailing Address
Miss LEISY B PONCE
18700 OXNARD ST
TARZANA, CA 91356-1413
Phone number: 818-996-1051
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