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1740737790
PHILLIP MICHAEL DE LA O
LOS ANGELES, CA
NPI
1740737790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- PHILLIP MICHAEL DE LA O
550 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number: 213-351-7284
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Mailing Address
-- PHILLIP MICHAEL DE LA O
550 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number:
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