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1255969788
JOSE REAL CATAYOC PONCIANO
LOS ANGELES, CA
NPI
1255969788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 239121)
Enumeration Date
2020-03-30
Last Update Date
2020-03-30
Business Address
JOSE REAL CATAYOC PONCIANO LVN
3580 WILSHIRE BLVD STE 1000
LOS ANGELES, CA 90010-2544
Phone number: 213-296-3783
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Mailing Address
JOSE REAL CATAYOC PONCIANO LVN
9274 JUNEBERRY LN
NORTH HILLS, CA 91343-7821
Phone number:
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