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1417039157
FRED PESANTE
LOS ANGELES, CA
NPI
1417039157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA RN464309)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
-- FRED PESANTE RN
1920 MARENGO ST
LOS ANGELES, CA 90033-1317
Phone number: 323-223-4462
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Mailing Address
-- FRED PESANTE RN
1920 MARENGO ST
LOS ANGELES, CA 90033-1317
Phone number: 323-223-4462
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