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1639122468
JUANITO MEDINA
LOS ANGELES, CA
NPI
1639122468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA np7325)
Enumeration Date
2006-05-19
Last Update Date
2007-07-08
Business Address
-- JUANITO MEDINA NP
1401 S GRAND AVE EMERGENCY DEPARTMENT
LOS ANGELES, CA 90015-3010
Phone number: 213-748-2411
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Mailing Address
-- JUANITO MEDINA NP
4551 GLENCOE AVE SUITE 260
MARINA DEL REY, CA 90292-6385
Phone number: 310-301-2030
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