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1821529611
MICHAEL ALEXANDER MEDEROS
LOS ANGELES, CA
NPI
1821529611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-03-23
Last Update Date
2017-03-25
Business Address
-- MICHAEL ALEXANDER MEDEROS
757 WESTWOOD PLZ SURGERY
LOS ANGELES, CA 90095-7419
Phone number: 310-794-4315
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Mailing Address
-- MICHAEL ALEXANDER MEDEROS
10833 LE CONTE AVE 72-235 CHS
LOS ANGELES, CA 90095-1749
Phone number: 310-794-4315
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