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1295075760
NELSON M FUENTEBELLA
BEVERLY HILLS, CA
NPI
1295075760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA pa21977)
Enumeration Date
2013-02-21
Last Update Date
2013-02-21
Business Address
Mr. NELSON M FUENTEBELLA PA-C
9033 WILSHIRE BLVD 401
BEVERLY HILLS, CA 90211-1837
Phone number: 310-247-0466
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Mailing Address
Mr. NELSON M FUENTEBELLA PA-C
6635 ETIWANDA AVENUE 7
RESEDA, CA 91335
Phone number:
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