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1265777981
BRIAN EARL BRISTOL
CERRITOS, CA
NPI
1265777981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP 22533)
Enumeration Date
2012-12-06
Last Update Date
2012-12-06
Business Address
-- BRIAN EARL BRISTOL ANP-C
12900 PARK PLAZA DR SUITE 150
CERRITOS, CA 90703-9329
Phone number: 800-499-2793
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Mailing Address
-- BRIAN EARL BRISTOL ANP-C
330 N CRESCENT HEIGHTS BLVD
LOS ANGELES, CA 90048-2204
Phone number: 310-795-7528
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