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1558610147
AGUSTIN LIZAMA
LOS ANGELES, CA
NPI
1558610147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-08-29
Last Update Date
2012-08-30
Business Address
-- AGUSTIN LIZAMA
130 W. BRUNO ST
LOS ANGELES, CA 90012
Phone number: 323-526-1254
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Mailing Address
-- AGUSTIN LIZAMA
2677 MOSS AVE #7
LOS ANGELES, CA 90065
Phone number: 323-526-1254
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