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1861019226
TAKEISA DENISE CROWDER
LOS ANGELES, CA
NPI
1861019226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95014666)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
Ms. TAKEISA DENISE CROWDER RN, FNP, MSN
450 BAUCHET ST
LOS ANGELES, CA 90012-2907
Phone number: 213-893-5460
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Mailing Address
Ms. TAKEISA DENISE CROWDER RN, FNP, MSN
4189 5TH AVE
LOS ANGELES, CA 90008-3936
Phone number: 323-381-9940
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