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1659797835
EBONY MONTGOMERY
LOS ANGELES, CA
NPI
1659797835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2014-03-11
Last Update Date
2015-05-20
Business Address
-- EBONY MONTGOMERY
1721 GRIFFIN AVE
LOS ANGELES, CA 90031-3312
Phone number: 323-221-4134
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Mailing Address
-- EBONY MONTGOMERY
1721 GRIFFIN AVE
LOS ANGELES, CA 90031-3312
Phone number: 323-221-4134
Copy
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