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1598901209
VICTOR BANUELOS
LOS ANGELES, CA
NPI
1598901209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 556884)
Enumeration Date
2008-12-30
Last Update Date
2008-12-30
Business Address
Mr. VICTOR BANUELOS RN
450 BAUCHET ST
LOS ANGELES, CA 90012-2907
Phone number: 213-893-5411
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Mailing Address
Mr. VICTOR BANUELOS RN
1015 W TERESA ST
WEST COVINA, CA 91790-1714
Phone number:
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