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1790456218
JAN MARK ATIS BARTOLOME
CULVER CITY, CA
NPI
1790456218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95249826)
Enumeration Date
2021-09-23
Last Update Date
2021-09-23
Business Address
JAN MARK ATIS BARTOLOME
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
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Mailing Address
JAN MARK ATIS BARTOLOME
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
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