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1699350074
JONAS FORTIN OBISPO
LOS ANGELES, CA
NPI
1699350074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95015686)
Enumeration Date
2021-03-16
Last Update Date
2021-03-16
Business Address
Mr. JONAS FORTIN OBISPO AGACNP-BC
905 E 2ND ST APT 566
LOS ANGELES, CA 90012-4487
Phone number: 310-525-7364
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Mailing Address
Mr. JONAS FORTIN OBISPO AGACNP-BC
905 E 2ND ST APT 566
LOS ANGELES, CA 90012-4487
Phone number: 310-525-7364
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