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1306094545
OSCAR VICTORIA
HUNTINGTON PARK, CA
NPI
1306094545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA B6835978)
Enumeration Date
2008-08-29
Last Update Date
2008-08-29
Business Address
Mr. OSCAR VICTORIA
2629 CLAREDON AVE.
HUNTINGTON PARK, CA 90255
Phone number: 562-903-5085
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Mailing Address
Mr. OSCAR VICTORIA
10112 LONGWORTH AVE
SANTA FE SPRINGS, CA 90670-3556
Phone number: 831-331-3435
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