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1023878071
STEPHAN ANDRES ORTIZ
LOS ANGELES, CA
NPI
1023878071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
STEPHAN ANDRES ORTIZ
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-660-2450
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Mailing Address
STEPHAN ANDRES ORTIZ
3718 MERRIMAC AVE
SAN DIEGO, CA 92117-1849
Phone number:
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