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1225753460
KEVIN WESLEY LU
HUNTINGTON BEACH, CA
NPI
1225753460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95022756)
Enumeration Date
2022-10-10
Last Update Date
2023-02-01
Business Address
KEVIN WESLEY LU
5888 EDINGER AVE
HUNTINGTON BEACH, CA 92649-1705
Phone number: 714-716-2900
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Mailing Address
KEVIN WESLEY LU
19507 GREENWILLOW LN
ROWLAND HEIGHTS, CA 91748-4906
Phone number: 909-272-2336
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