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1386483204
CARMIN JULISSA AYALA
LOS ANGELES, CA
NPI
1386483204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95025796)
Enumeration Date
2024-05-21
Last Update Date
2024-06-20
Business Address
CARMIN JULISSA AYALA
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
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Mailing Address
CARMIN JULISSA AYALA
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
Copy
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