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1437739554
NICOLE LOGAN VESTAL
LOS ANGELES, CA
NPI
1437739554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-12
Last Update Date
2021-04-12
Business Address
NICOLE LOGAN VESTAL
1975 ZONAL AVE
LOS ANGELES, CA 90089-5601
Phone number: 323-442-1100
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Mailing Address
NICOLE LOGAN VESTAL
1975 ZONAL AVE
LOS ANGELES, CA 90089-5601
Phone number:
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