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1215611777
PHILLIP MARTIN DESMUKE
LOS ANGELES, CA
NPI
1215611777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95085336)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
PHILLIP MARTIN DESMUKE
5000 W SUNSET BLVD
LOS ANGELES, CA 90027-5861
Phone number: 213-549-1811
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Mailing Address
PHILLIP MARTIN DESMUKE
510 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number:
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