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1073036695
MIRASOL AGUSTIN
LOS ANGELES, CA
NPI
1073036695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0100X Registered Nurse, Gastroenterology
(Licence: CA 688778)
Enumeration Date
2017-07-25
Last Update Date
2022-07-21
Business Address
MIRASOL AGUSTIN
1983 MARENGO ST
LOS ANGELES, CA 90033-1370
Phone number: 323-409-5530
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Mailing Address
MIRASOL AGUSTIN
1983 MARENGO ST
LOS ANGELES, CA 90033-1370
Phone number: 323-409-5530
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