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1417723321
JOSE FREGOSO
LOS ANGELES, CA
NPI
1417723321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95028067)
Enumeration Date
2023-12-01
Last Update Date
2023-12-01
Business Address
JOSE FREGOSO
522 N LARCHMONT BLVD
LOS ANGELES, CA 90004-1306
Phone number: 818-299-4910
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Mailing Address
JOSE FREGOSO
522 N LARCHMONT BLVD
LOS ANGELES, CA 90004-1306
Phone number:
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