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1598342917
LUCAS ERWIN HARJONO
LOS ANGELES, CA
NPI
1598342917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
LUCAS ERWIN HARJONO
11301 WILSHIRE BLVD BLDG 500
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
LUCAS ERWIN HARJONO
10145 SCENIC BLVD
CUPERTINO, CA 95014-2724
Phone number:
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