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1114534997
BLANCA L AVALOS-DIAZ
SANTA FE SPRINGS, CA
NPI
1114534997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014670)
Enumeration Date
2020-09-25
Last Update Date
2020-09-25
Business Address
BLANCA L AVALOS-DIAZ FNP
11708 NOVA ST
SANTA FE SPRINGS, CA 90670-2837
Phone number: 323-697-9349
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Mailing Address
BLANCA L AVALOS-DIAZ FNP
11708 NOVA ST
SANTA FE SPRINGS, CA 90670-2837
Phone number:
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