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1669917118
LAKEINA FERGUSON
LOS ANGELES, CA
NPI
1669917118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-12-19
Last Update Date
2016-12-19
Business Address
-- LAKEINA FERGUSON
4920 AVALON BLVD
LOS ANGELES, CA 90011-4004
Phone number: 323-235-5035
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Mailing Address
-- LAKEINA FERGUSON
433 GRACE AVE
INGLEWOOD, CA 90301-1302
Phone number: 619-874-3972
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