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1942741533
AMBER RANDOLPH COREA
BELLFLOWER, CA
NPI
1942741533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA 10587-r)
Enumeration Date
2017-03-15
Last Update Date
2017-03-15
Business Address
-- AMBER RANDOLPH COREA
16314 CORNUTA AVE
BELLFLOWER, CA 90706-4814
Phone number: 562-461-9272
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Mailing Address
-- AMBER RANDOLPH COREA
15719 EUCALYPTUS AVE 21
BELLFLOWER, CA 90706-3852
Phone number: 562-565-3054
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