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1740397413
ERICSON P REYES
LAKEWOOD, CA
NPI
1740397413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP15834)
Enumeration Date
2006-08-25
Last Update Date
2023-10-10
Business Address
ERICSON P REYES
3300 E SOUTH ST STE 308
LAKEWOOD, CA 90805-4598
Phone number: 562-630-3111
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Mailing Address
ERICSON P REYES
PO BOX 879
LAKEWOOD, CA 90714-0879
Phone number: 562-630-3111
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