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1750074886
ROCCOYA OCTAVIA EDWARDS
LOS ANGELES, CA
NPI
1750074886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
ROCCOYA OCTAVIA EDWARDS
12021 WILMINGTON AVE STE 102
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6001
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Mailing Address
ROCCOYA OCTAVIA EDWARDS
12021 WILMINGTON AVE STE 102
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6001
Copy
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