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1568220788
TEODORO LAURO CARACHURE CHARCO
LOS ANGELES, CA
NPI
1568220788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95029381)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
TEODORO LAURO CARACHURE CHARCO NP
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006-6507
Phone number: 213-550-2159
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Mailing Address
TEODORO LAURO CARACHURE CHARCO NP
1722 MITCHELL AVE APT 91
TUSTIN, CA 92780-6363
Phone number: 714-409-7718
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