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1336504422
JONATHAN LAT
CULVER CITY, CA
NPI
1336504422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95064071)
Enumeration Date
2015-12-16
Last Update Date
2015-12-16
Business Address
-- JONATHAN LAT
9808 VENICE BLVD STE. 505
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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Mailing Address
-- JONATHAN LAT
9808 VENICE BLVD STE. 505
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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