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1598500316
VIRGIL KAVON SHEPHERD
LOS ANGELES, CA
NPI
1598500316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
VIRGIL KAVON SHEPHERD
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-751-3026
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Mailing Address
VIRGIL KAVON SHEPHERD
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-751-3026
Copy
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