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1972287001
LARRY DEVEL RUTH
LOS ANGELES, CA
NPI
1972287001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 730604)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
LARRY DEVEL RUTH
755 S SPRING ST APT 726
LOS ANGELES, CA 90014-2975
Phone number: 312-838-0530
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Mailing Address
LARRY DEVEL RUTH
755 S SPRING ST APT 726
LOS ANGELES, CA 90014-2975
Phone number: 312-838-0530
Copy
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