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1184402083
MARK SHAWN SAMUEL
LOS ANGELES, CA
NPI
1184402083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61477587)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
MARK SHAWN SAMUEL
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 661-992-6212
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Mailing Address
MARK SHAWN SAMUEL
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number:
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