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1295318194
OMAR JIMENEZ
LOS ANGELES, CA
NPI
1295318194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: CA RN95230454)
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
OMAR JIMENEZ
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028-5411
Phone number: 562-556-0012
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Mailing Address
OMAR JIMENEZ
11908 BEXLEY DR
WHITTIER, CA 90606-2015
Phone number: 562-556-0012
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