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1164905873
LARA TRINIDAD MANESE
GLENDALE, CA
NPI
1164905873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA F02180415)
Enumeration Date
2018-09-09
Last Update Date
2018-09-09
Business Address
LARA TRINIDAD MANESE NP
710 S CENTRAL AVE STE 330
GLENDALE, CA 91204-4647
Phone number: 818-500-8739
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Mailing Address
LARA TRINIDAD MANESE NP
452 VINE ST
GLENDALE, CA 91204-1559
Phone number: 323-217-9674
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