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1790371383
TEQUILA SORRELS
LOS ANGELES, CA
NPI
1790371383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-12-17
Last Update Date
2020-12-17
Business Address
TEQUILA SORRELS
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
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Mailing Address
TEQUILA SORRELS
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 323-432-4399
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