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1861953945
ANTHONY WARREN LIGHTFOOT
CULVER CITY, CA
NPI
1861953945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-29
Last Update Date
2019-04-02
Business Address
Dr. ANTHONY WARREN LIGHTFOOT
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-305-8878
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Mailing Address
Dr. ANTHONY WARREN LIGHTFOOT
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-305-8878
Copy
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