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1811527245
JAISHAWN LENNA BROCK
LONG BEACH, CA
NPI
1811527245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
JAISHAWN LENNA BROCK
1160 E SOUTH ST APT 2
LONG BEACH, CA 90805-4141
Phone number: 562-850-6496
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Mailing Address
JAISHAWN LENNA BROCK
1160 E SOUTH ST APT 2
LONG BEACH, CA 90805-4141
Phone number:
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