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1073135943
EDMUND ERWIN VERGARA FALCON
ORANGE, CA
NPI
1073135943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 697174)
Enumeration Date
2020-05-13
Last Update Date
2023-10-27
Business Address
EDMUND ERWIN VERGARA FALCON
265 S ANITA DR STE 201
ORANGE, CA 92868-3346
Phone number: 310-945-3350
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Mailing Address
EDMUND ERWIN VERGARA FALCON
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
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