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1992413694
LARRY R COMETSEVAH
LONG BEACH, CA
NPI
1992413694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-10
Last Update Date
2022-11-10
Business Address
LARRY R COMETSEVAH
2120 W WILLIAMS ST STE 1
LONG BEACH, CA 90810-3617
Phone number: 562-388-8118
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Mailing Address
LARRY R COMETSEVAH
2120 W WILLIAMS ST STE 1
LONG BEACH, CA 90810-3617
Phone number: 562-388-8118
Copy
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