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1487995684
LUNG SAN LOUIE
SAN MARCOS, CA
NPI
1487995684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 22449)
Enumeration Date
2013-03-13
Last Update Date
2015-03-16
Business Address
-- LUNG SAN LOUIE FNP
150 VALPREDA RD
SAN MARCOS, CA 92069-2973
Phone number: 760-736-6767
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Mailing Address
-- LUNG SAN LOUIE FNP
960 MELALEUCA AVE APT J
CARLSBAD, CA 92011-3848
Phone number: 510-388-5813
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