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1124563358
ALFONSO CRUZ MANUEL
NORTH HOLLYWOOD, CA
NPI
1124563358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95005711)
Enumeration Date
2016-12-25
Last Update Date
2024-05-07
Business Address
-- ALFONSO CRUZ MANUEL
7653 COLDWATER CANYON CT
NORTH HOLLYWOOD, CA 91605-2048
Phone number: 818-200-7062
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Mailing Address
-- ALFONSO CRUZ MANUEL
7653 COLDWATER CANYON CT
NORTH HOLLYWOOD, CA 91605-2048
Phone number: 818-200-7062
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