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1770123663
MA GLENDA JATULAN RAVAS
LOS ANGELES, CA
NPI
1770123663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95013651)
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
MA GLENDA JATULAN RAVAS NP
1680 E 120TH ST
LOS ANGELES, CA 90059-3026
Phone number: 424-338-8367
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Mailing Address
MA GLENDA JATULAN RAVAS NP
4121 COTTONWOOD CIR
LAKE ELSINORE, CA 92530-2019
Phone number: 510-456-8002
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