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1255725131
LOEL CORCUERA
CULVER CITY, CA
NPI
1255725131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 809955)
Enumeration Date
2015-03-27
Last Update Date
2015-03-27
Business Address
-- LOEL CORCUERA
9808 VENICE BLVD
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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Mailing Address
-- LOEL CORCUERA
9808 VENICE BLVD
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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