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1700244886
MELITA NICOLE EVANS
GARDENA, CA
NPI
1700244886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-04
Last Update Date
2021-03-31
Business Address
MELITA NICOLE EVANS
14112 S KINGSLEY DR
GARDENA, CA 90249-3018
Phone number: 310-217-7312
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Mailing Address
MELITA NICOLE EVANS
14112 S KINGSLEY DR
GARDENA, CA 90249-3018
Phone number: 310-217-7312
Copy
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