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1902383417
ANTONIA LEMUS
GARDENA, CA
NPI
1902383417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-26
Last Update Date
2018-11-07
Business Address
ANTONIA LEMUS
15519 CRENSHAW BLVD
GARDENA, CA 90249-4597
Phone number: 310-679-9126
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Mailing Address
ANTONIA LEMUS
15519 CRENSHAW BLVD
GARDENA, CA 90249-4597
Phone number: 310-679-9126
Copy
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