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1407434004
RAMON TIBAY PACINA
CARSON, CA
NPI
1407434004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95017039)
Enumeration Date
2021-04-02
Last Update Date
2021-07-15
Business Address
RAMON TIBAY PACINA NP
23018 MONETA AVE
CARSON, CA 90745-4732
Phone number: 310-830-9577
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Mailing Address
RAMON TIBAY PACINA NP
1819 WASHINGTON AVE APT A
SANTA MONICA, CA 90403-3324
Phone number: 818-934-7833
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