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1487020681
LUIS ROBERTO MORA
LOS ANGELES, CA
NPI
1487020681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86003373)
Enumeration Date
2015-08-11
Last Update Date
2020-07-10
Business Address
Mr. LUIS ROBERTO MORA RD
5807 AVALON BLVD
LOS ANGELES, CA 90011-5303
Phone number: 323-233-2452
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Mailing Address
Mr. LUIS ROBERTO MORA RD
10207 SAN ANSELMO AVE
SOUTH GATE, CA 90280-5624
Phone number: 323-360-4050
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