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1639843212
JORGE DANIEL HERRERA
LOS ANGELES, CA
NPI
1639843212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95018008)
Enumeration Date
2021-08-06
Last Update Date
2021-08-06
Business Address
Mr. JORGE DANIEL HERRERA AGACNP
1680 E 120TH ST
LOS ANGELES, CA 90059-3026
Phone number: 310-748-9532
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Mailing Address
Mr. JORGE DANIEL HERRERA AGACNP
35 TEASDALE ST
THOUSAND OAKS, CA 91360-3150
Phone number: 310-748-9532
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