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1568989614
CORALIA ELIZABETH FUENTES
LOS ANGELES, CA
NPI
1568989614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-08-29
Last Update Date
2022-07-21
Business Address
CORALIA ELIZABETH FUENTES
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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Mailing Address
CORALIA ELIZABETH FUENTES
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
Copy
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