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1093237240
LARRY EDWARD NATIVIDAD
LOS ANGELES, CA
NPI
1093237240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: CA 533239)
Enumeration Date
2017-07-10
Last Update Date
2017-07-10
Business Address
LARRY EDWARD NATIVIDAD
245 S FETTERLY AVE
LOS ANGELES, CA 90022-1605
Phone number: 323-362-1079
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Mailing Address
LARRY EDWARD NATIVIDAD
245 S FETTERLY AVE
LOS ANGELES, CA 90022-1605
Phone number: 323-362-1079
Copy
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