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1811537335
SANDRA ILLESCAS
LOS ANGELES, CA
NPI
1811537335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-13
Last Update Date
2023-06-28
Business Address
SANDRA ILLESCAS
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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Mailing Address
SANDRA ILLESCAS
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
Copy
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