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1477111581
ERIC OMAR VAZQUEZ MERCED
HUNTINGTON PARK, CA
NPI
1477111581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95010284)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
Mr. ERIC OMAR VAZQUEZ MERCED NP
7705 SEVILLE AVE STE D
HUNTINGTON PARK, CA 90255-6570
Phone number: 323-582-6534
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Mailing Address
Mr. ERIC OMAR VAZQUEZ MERCED NP
1720 N FULLER AVE APT 245
LOS ANGELES, CA 90046-3075
Phone number: 407-716-5757
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