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1245937036
MOONLIGHT ALAN
BURBANK, CA
NPI
1245937036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95023700)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
MOONLIGHT ALAN
3808 W RIVERSIDE DR STE 407
BURBANK, CA 91505-5301
Phone number: 213-218-9245
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Mailing Address
MOONLIGHT ALAN
945 N SERRANO AVE APT 113
LOS ANGELES, CA 90029-3274
Phone number: 213-422-9126
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