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1134536949
IVAN QUEZADA
CULVER CITY, CA
NPI
1134536949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 834506)
Enumeration Date
2014-07-14
Last Update Date
2022-12-19
Business Address
IVAN QUEZADA
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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Mailing Address
IVAN QUEZADA
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
Copy
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