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1881261287
KENYA'MICHELLE BEAVERS
WEST HOLLYWOOD, CA
NPI
1881261287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: CA 615766)
Enumeration Date
2021-06-05
Last Update Date
2021-06-05
Business Address
Ms. KENYA'MICHELLE BEAVERS
1210 LARRABEE ST APT 3
WEST HOLLYWOOD, CA 90069-6104
Phone number: 702-769-6442
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Mailing Address
Ms. KENYA'MICHELLE BEAVERS
920 WESTBOURNE DR APT 9
WEST HOLLYWOOD, CA 90069-4175
Phone number: 702-769-6442
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