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1194370148
HERIBERTO MEDINA
LOS ANGELES, CA
NPI
1194370148
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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
2019-08-07
Last Update Date
2019-08-07
Business Address
HERIBERTO MEDINA
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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Mailing Address
HERIBERTO MEDINA
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
Copy
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