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1871942813
EBONY STANFORD
LONG BEACH, CA
NPI
1871942813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 281631)
Enumeration Date
2016-06-09
Last Update Date
2016-07-27
Business Address
-- EBONY STANFORD
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
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Mailing Address
-- EBONY STANFORD
2741 E 57TH ST
LONG BEACH, CA 90805-5115
Phone number: 562-544-9114
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