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1871942011
SHEPELL OMEGA JACA
LOS ANGELES, CA
NPI
1871942011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA T60021960)
Enumeration Date
2016-06-08
Last Update Date
2016-06-08
Business Address
Mrs. SHEPELL OMEGA JACA
3375 S HOOVER ST SUITE H201
LOS ANGELES, CA 90089-0116
Phone number: 213-821-5930
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Mailing Address
Mrs. SHEPELL OMEGA JACA
3375 S HOOVER ST SUITE H201
LOS ANGELES, CA 90089-0116
Phone number: 213-821-5930
Copy
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