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1063529592
ANGELINA LAROCO LEIVA
BURBANK, CA
NPI
1063529592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP15295)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- ANGELINA LAROCO LEIVA NP
MOBILE MEDICAL & NURSING, INC. 4161 WEST KLING STREET, # 16
BURBANK, CA 91505
Phone number: 818-843-5225
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Mailing Address
-- ANGELINA LAROCO LEIVA NP
1548 NOEL CIR
SIMI VALLEY, CA 93065-3752
Phone number: 805-583-5616
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