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1396120614
BERNARD TY
LOS ANGELES, CA
NPI
1396120614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95002756)
Enumeration Date
2015-07-28
Last Update Date
2015-07-28
Business Address
-- BERNARD TY FNP
3920 EDENHURST AVE
LOS ANGELES, CA 90039-1616
Phone number: 323-868-2588
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Mailing Address
-- BERNARD TY FNP
3920 EDENHURST AVE
LOS ANGELES, CA 90039-1616
Phone number: 323-868-2588
Copy
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