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1710480017
TRACEY LYNN MIZE
LOS ANGELES, CA
NPI
1710480017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 177047)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
TRACEY LYNN MIZE Nurse
5440 THORNBURN ST
LOS ANGELES, CA 90045-2273
Phone number: 310-484-3967
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Mailing Address
TRACEY LYNN MIZE Nurse
PO BOX 91854
LOS ANGELES, CA 90009-1854
Phone number: 310-484-3967
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