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1801390281
MARK BUENAVENTURA
LOS ANGELES, CA
NPI
1801390281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-03-21
Last Update Date
2018-06-16
Business Address
MARK BUENAVENTURA
426 S SAN PEDRO ST
LOS ANGELES, CA 90013-2119
Phone number: 323-893-2909
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Mailing Address
MARK BUENAVENTURA
426 S SAN PEDRO ST
LOS ANGELES, CA 90013-2119
Phone number: 323-893-2909
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