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1770899973
DWAYNE CHARLES SCOTT
LONG BEACH, CA
NPI
1770899973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
Mr. DWAYNE CHARLES SCOTT
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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Mailing Address
Mr. DWAYNE CHARLES SCOTT
1691 261ST ST # 1
HARBOR CITY, CA 90710-3229
Phone number: 310-594-6642
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