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1336456052
CARLOS REVELES
SAN DIEGO, CA
NPI
1336456052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 201220)
Enumeration Date
2010-09-01
Last Update Date
2010-09-01
Business Address
-- CARLOS REVELES LVN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
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Mailing Address
-- CARLOS REVELES LVN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
Copy
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