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1396193108
MBI N MBI
LOS ANGELES, CA
NPI
1396193108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003258)
Enumeration Date
2016-06-02
Last Update Date
2016-06-02
Business Address
Mr. MBI N MBI NP
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 323-409-1000
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Mailing Address
Mr. MBI N MBI NP
6658 CANTERBURY DR UNIT 103
CHINO HILLS, CA 91709-4514
Phone number:
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