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1356613301
PABLO IVAN VARGAS
LOMA LINDA, CA
NPI
1356613301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 21413)
Enumeration Date
2012-02-07
Last Update Date
2012-02-07
Business Address
-- PABLO IVAN VARGAS NP
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4344
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Mailing Address
-- PABLO IVAN VARGAS NP
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number:
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