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1164124376
PHILIP JOSEPH FONSECA
LOS ANGELES, CA
NPI
1164124376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2023-06-28
Business Address
PHILIP JOSEPH FONSECA
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027-6021
Phone number: 323-783-6399
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Mailing Address
PHILIP JOSEPH FONSECA
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027-6021
Phone number:
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