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1891065850
LISA LONGWARE
SANTA MONICA, CA
NPI
1891065850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
-- LISA LONGWARE
1751 CLOVERFIELD BLVD
SANTA MONICA, CA 90404-4007
Phone number: 310-450-0650
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Mailing Address
-- LISA LONGWARE
1751 CLOVERFIELD BLVD
SANTA MONICA, CA 90404-4007
Phone number: 310-450-0650
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