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1437971561
MARVIN GIL MANALO
AZUSA, CA
NPI
1437971561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95032534)
Enumeration Date
2024-10-29
Last Update Date
2024-12-05
Business Address
MARVIN GIL MANALO
459 S AZUSA AVE STE F
AZUSA, CA 91702-4945
Phone number: 626-804-7169
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Mailing Address
MARVIN GIL MANALO
16362 SHAMHART DR
GRANADA HILLS, CA 91344-2834
Phone number: 818-390-0804
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