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1629696422
JACQUELINE LARA
LYNWOOD, CA
NPI
1629696422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
JACQUELINE LARA
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262-3625
Phone number: 310-632-0415
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Mailing Address
JACQUELINE LARA
5938 MULLER ST APT A
BELL GARDENS, CA 90201-6245
Phone number: 323-652-8070
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