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1073154258
JONATHAN ALLAN RIVAS
LOS ANGELES, CA
NPI
1073154258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95137468)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
JONATHAN ALLAN RIVAS RN
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
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Mailing Address
JONATHAN ALLAN RIVAS RN
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
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