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1033136510
ERNEST LOUIS PRUDENTE
SANTA MONICA, CA
NPI
1033136510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A70659)
Enumeration Date
2006-07-17
Last Update Date
2010-01-26
Business Address
-- ERNEST LOUIS PRUDENTE MD
2121 WILSHIRE BLVD #306
SANTA MONICA, CA 90403
Phone number: 310-829-7762
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Mailing Address
-- ERNEST LOUIS PRUDENTE MD
2121 WILSHIRE BLVD #304
SANTA MONICA, CA 90403
Phone number: 310-264-0065
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