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1538351218
JOEDERICK SANTOS REGUYAL
VAN NUYS, CA
NPI
1538351218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN206114)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
-- JOEDERICK SANTOS REGUYAL
14416 HAMLIN ST SUITE 210
VAN NUYS, CA 91401-1486
Phone number: 818-989-6248
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Mailing Address
-- JOEDERICK SANTOS REGUYAL
21000 BRYANT ST UNIT # 6
CANOGA PARK, CA 91304-2851
Phone number: 818-216-6687
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