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1427489483
ROY ALLAN O ELEVAZO
LAKEWOOD, CA
NPI
1427489483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95000309)
Enumeration Date
2013-12-02
Last Update Date
2024-10-16
Business Address
ROY ALLAN O ELEVAZO PMHNP-BC
5220 CLARK AVE STE 400
LAKEWOOD, CA 90712-2625
Phone number: 562-804-3575
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Mailing Address
ROY ALLAN O ELEVAZO PMHNP-BC
3553 ATLANTIC AVENUE #253
LONG BEACH, CA 90807
Phone number: 562-804-3575
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