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1750017422
A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION
HUNTINGTON PARK, CA
NPI
1750017422
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Entity Type
Organization
Authorized Contact
EDEN DABALUS
Secretary
310-848-8865
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2022-07-26
Last Update Date
2022-08-03
Business Address
A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION
6816 PACIFIC BLVD STE 210
HUNTINGTON PARK, CA 90255-4654
Phone number: 818-754-7986
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Mailing Address
A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION
6816 PACIFIC BLVD SUITE 210
HUNTINGTON PARK,, CA 90255-4654
Phone number: 818-754-7986
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