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1326456120
MARIO ALFREDO MARTINEZ CHAVEZ
LOS ANGELES, CA
NPI
1326456120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95000992)
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
-- MARIO ALFREDO MARTINEZ CHAVEZ
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017-1901
Phone number: 213-977-2423
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Mailing Address
-- MARIO ALFREDO MARTINEZ CHAVEZ
700 N ALEXANDER ST
SAN FERNANDO, CA 91340-2002
Phone number: 818-970-9258
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