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1962012518
LATINA BECKETT
DUARTE, CA
NPI
1962012518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-07
Last Update Date
2020-08-07
Business Address
Miss LATINA BECKETT
2335 MOUNTAIN AVE
DUARTE, CA 91010-3559
Phone number: 818-821-6012
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Mailing Address
Miss LATINA BECKETT
12501 CHANDLER BLVD STE 102
VALLEY VILLAGE, CA 91607-1955
Phone number: 818-821-6012
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