Licensee Name:MIRACLE MILE MEDICAL CENTER LLC
License Type:DRUG ROOM
License Number:47308
License Status:CLEAR Definition
Expiration Date:January 01, 2016
Issue Date:January 31, 2006
Address:6000 SAN VICENTE BLVD
City:LOS ANGELES
State:CA
Zip:90036
County:LOS ANGELES
Actions:No
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