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1730673393
NICOLE DANELLE CAMPOS
LONG BEACH, CA
NPI
1730673393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: CA D6838870)
Enumeration Date
2018-06-18
Last Update Date
2018-06-18
Business Address
NICOLE DANELLE CAMPOS
1133 E RHEA ST
LONG BEACH, CA 90806-5125
Phone number: 562-570-4402
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Mailing Address
NICOLE DANELLE CAMPOS
1133 E RHEA ST
LONG BEACH, CA 90806-5125
Phone number: 562-570-4402
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