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1386381325
LORENA TULUD BANTUG
LOS ANGELES, CA
NPI
1386381325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95020522)
Enumeration Date
2022-05-19
Last Update Date
2022-05-19
Business Address
LORENA TULUD BANTUG NP
6245 DE LONGPRE AVE
LOS ANGELES, CA 90028-8253
Phone number: 323-499-1350
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Mailing Address
LORENA TULUD BANTUG NP
6245 DE LONGPRE AVE
LOS ANGELES, CA 90028-8253
Phone number: 323-499-1350
Copy
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