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1336797125
FENDEE MADAYAG ANSELMO
LOS ANGELES, CA
NPI
1336797125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: CA 95142090)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
FENDEE MADAYAG ANSELMO
11845 W OLYMPIC BLVD STE 900W
LOS ANGELES, CA 90064-5086
Phone number: 213-296-3783
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Mailing Address
FENDEE MADAYAG ANSELMO
8097 CALENDULA DR
BUENA PARK, CA 90620-2005
Phone number: 714-348-4783
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