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1619398252
JUAN M CARRILLO
LOS ANGELES, CA
NPI
1619398252
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Other Name
JUAN CARRILLO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA G 80972)
Enumeration Date
2013-12-28
Last Update Date
2013-12-28
Business Address
Dr. JUAN M CARRILLO M.D.
1104 N MISSION RD
LOS ANGELES, CA 90033-1017
Phone number: 323-343-0520
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Mailing Address
Dr. JUAN M CARRILLO M.D.
1104 N MISSION RD
LOS ANGELES, CA 90033-1017
Phone number: 323-343-0520
Copy
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