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1295416774
ANGEL LEWIS BERMUDEZ
SAN FERNANDO, CA
NPI
1295416774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
ANGEL LEWIS BERMUDEZ
566 S BRAND BLVD
SAN FERNANDO, CA 91340-4002
Phone number: 818-898-0223
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Mailing Address
ANGEL LEWIS BERMUDEZ
682 IROLO ST APT 608
LOS ANGELES, CA 90005-2353
Phone number: 424-240-2335
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