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1245903772
BRENT BLUMENTHAL
COVINA, CA
NPI
1245903772
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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
2021-07-29
Last Update Date
2021-07-29
Business Address
BRENT BLUMENTHAL
540 S EREMLAND DR
COVINA, CA 91723-3186
Phone number: 626-966-1577
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Mailing Address
BRENT BLUMENTHAL
540 S EREMLAND DR
COVINA, CA 91723-3186
Phone number: 626-966-1577
Copy
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