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1699033175
GENESIS HENRIQUEZ
LONG BEACH, CA
NPI
1699033175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-02
Last Update Date
2012-05-09
Business Address
-- GENESIS HENRIQUEZ B.A.
6722 E DE LEON ST
LONG BEACH, CA 90815-4905
Phone number: 562-346-7775
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Mailing Address
-- GENESIS HENRIQUEZ B.A.
6722 E DE LEON ST
LONG BEACH, CA 90815-4905
Phone number:
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