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1891170874
JOHNNY GRANADOS
LOS ANGELES, CA
NPI
1891170874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-07-20
Last Update Date
2019-08-23
Business Address
JOHNNY GRANADOS
710 E 111TH PL
LOS ANGELES, CA 90059-1518
Phone number: 323-233-0425
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Mailing Address
JOHNNY GRANADOS
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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