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Organization
POM POM'S CASTLE
Active
Organization
POM POM'S CASTLE
Active
Other names
CLEAN AND FREE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE OLIVER (EXECTIVE DIRECTOR)
(323) 778-5433
Entity
Organization
Contact information
Practice address
971 E 43RD ST, LOS ANGELES, CA 90011-3040
(323) 778-5433
(323) 232-7190
Mailing address
PO BOX 470652, LOS ANGELES, CA 90047-9352
(323) 232-7190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
190329RN
CA
Other
Enumeration date
07/19/2005
Last updated
08/14/2008
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