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1366006421
RITA ITA HOGAN
LOS ANGELES, CA
NPI
1366006421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95011575)
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
RITA ITA HOGAN
1200 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-409-7729
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Mailing Address
RITA ITA HOGAN
620 W HYDE PARK BLVD UNIT 207
INGLEWOOD, CA 90302-4060
Phone number: 214-597-5665
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