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1275004145
RAYVEION LAQUITA MEDLOCK
LONG BEACH, CA
NPI
1275004145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95010266)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
Ms. RAYVEION LAQUITA MEDLOCK PNP
40 CEDAR WALK UNIT 2115
LONG BEACH, CA 90802-7922
Phone number: 562-481-4850
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Mailing Address
Ms. RAYVEION LAQUITA MEDLOCK PNP
40 CEDAR WALK UNIT 2115
LONG BEACH, CA 90802-7922
Phone number: 562-481-4850
Copy
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