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1376092684
ENRIQUE CARBAJAL
TORRANCE, CA
NPI
1376092684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004116)
Enumeration Date
2016-09-27
Last Update Date
2016-09-27
Business Address
-- ENRIQUE CARBAJAL
4101 TORRANCE BLVD
TORRANCE, CA 90503-4607
Phone number: 310-303-6742
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Mailing Address
-- ENRIQUE CARBAJAL
7400 HOLLYWOOD BLVD APT 515
LOS ANGELES, CA 90046-2830
Phone number: 708-560-1617
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