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1568989168
LUCIEN KOUADIO KOUASSI
SAN FERNANDO, CA
NPI
1568989168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
Mr. LUCIEN KOUADIO KOUASSI
566 S BRAND BLVD
SAN FERNANDO, CA 91340-4002
Phone number: 818-898-0223
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Mailing Address
Mr. LUCIEN KOUADIO KOUASSI
566 S BRAND BLVD
SAN FERNANDO, CA 91340-4002
Phone number:
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