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1831880889
MYISHA LALEASE BLACKWELL
CULVER CITY, CA
NPI
1831880889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 733666)
Enumeration Date
2023-05-18
Last Update Date
2023-05-18
Business Address
MYISHA LALEASE BLACKWELL
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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Mailing Address
MYISHA LALEASE BLACKWELL
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
Copy
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