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1780111955
CHANEL LYSSIA LAKEMAN
LONG BEACH, CA
NPI
1780111955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-05-18
Last Update Date
2017-05-18
Business Address
CHANEL LYSSIA LAKEMAN
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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Mailing Address
CHANEL LYSSIA LAKEMAN
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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