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1134795339
JOHN EDRIK MICHAEL BRILLANTE
BUENA PARK, CA
NPI
1134795339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95017280)
Enumeration Date
2021-05-28
Last Update Date
2022-09-12
Business Address
JOHN EDRIK MICHAEL BRILLANTE NP - C
8615 KNOTT AVE STE 3
BUENA PARK, CA 90620-3886
Phone number: 714-527-4833
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Mailing Address
JOHN EDRIK MICHAEL BRILLANTE NP - C
8615 KNOTT AVE STE 3
BUENA PARK, CA 90620-3886
Phone number: 714-527-4833
Copy
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