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1649564345
LUISA FERNANDA CANON GARZON
LOS ANGELES, CA
NPI
1649564345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-05-31
Last Update Date
2011-05-31
Business Address
Ms. LUISA FERNANDA CANON GARZON
695 S VERMONT AVE 15TH FLOOR
LOS ANGELES, CA 90005-1349
Phone number: 213-251-6854
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Mailing Address
Ms. LUISA FERNANDA CANON GARZON
2255 GREEN OAK CT
THOUSAND OAKS, CA 91362-5313
Phone number: 818-620-3176
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