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1922131549
L. A.SOUTH HEALTH SERVIES
LOS ANGELES, CA
NPI
1922131549
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Entity Type
Organization
Authorized Contact
MATTHEW E ETUK
Excutuve Director
323-751-0608
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: CA 190476AN)
Enumeration Date
2007-03-13
Last Update Date
2020-08-22
Business Address
L. A.SOUTH HEALTH SERVIES
1704 W MANCHESTER AVE SUITE 205
LOS ANGELES, CA 90047-3034
Phone number: 323-751-0608
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Mailing Address
L. A.SOUTH HEALTH SERVIES
1704 W MANCHESTER AVE SUITE 205
LOS ANGELES, CA 90047-3034
Phone number: 323-751-0608
Copy
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