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1518311190
RYAN MACAVINTA
MORENO VALLEY, CA
NPI
1518311190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95003758)
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
RYAN MACAVINTA FNP
22765 ALESSANDRO BLVD.
MORENO VALLEY, CA 92553
Phone number: 951-571-2330
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Mailing Address
RYAN MACAVINTA FNP
22765 ALESSANDRO BLVD.
MORENO VALLEY, CA 92553
Phone number: 951-571-2330
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