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1740892728
OCTAVIO BALBUENA RAMIREZ
LOS ANGELES, CA
NPI
1740892728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA INT46603)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
OCTAVIO BALBUENA RAMIREZ
1985 ZONAL AVE
LOS ANGELES, CA 90089-5305
Phone number: 323-442-1468
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Mailing Address
OCTAVIO BALBUENA RAMIREZ
12029 CLOVER AVE
LOS ANGELES, CA 90066-1003
Phone number: 310-408-1629
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