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1316605074
ANTONIO REYES ADVINCULA
LONG BEACH, CA
NPI
1316605074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 188301)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
ANTONIO REYES ADVINCULA
6060 N PARAMOUNT BLVD
LONG BEACH, CA 90805-3711
Phone number: 562-634-9534
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Mailing Address
ANTONIO REYES ADVINCULA
6060 N PARAMOUNT BLVD
LONG BEACH, CA 90805-3711
Phone number: 562-634-9534
Copy
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