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1427117167
BRENT EGEMO
PANORAMA CITY, CA
NPI
1427117167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP16058)
Enumeration Date
2006-12-08
Last Update Date
2008-09-23
Business Address
BRENT EGEMO NP
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
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Mailing Address
BRENT EGEMO NP
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
Copy
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