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1730722539
LISA CROCKOM
LOS ANGELES, CA
NPI
1730722539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-10-24
Last Update Date
2019-10-24
Business Address
LISA CROCKOM
1838 E. BADILLO STREET APT 1
LOS ANGELES, CA 90001
Phone number: 626-324-2190
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Mailing Address
LISA CROCKOM
1838 E BADILLO ST APT 1
WEST COVINA, CA 91791-1107
Phone number:
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