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1730646456
KATHLYN MAE AUSTRIA DE LOS REYES
LANCASTER, CA
NPI
1730646456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95011307)
Enumeration Date
2019-02-28
Last Update Date
2019-03-05
Business Address
KATHLYN MAE AUSTRIA DE LOS REYES
43322 GINGHAM AVE
LANCASTER, CA 93535-4576
Phone number: 661-874-4050
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Mailing Address
KATHLYN MAE AUSTRIA DE LOS REYES
3221 VINELAND AVE APT 56
BALDWIN PARK, CA 91706-5164
Phone number: 323-503-9927
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