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1821727173
LUIS VIDAURRI
LOS ANGELES, CA
NPI
1821727173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QS1000X Clinic/Center, Student Health
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
LUIS VIDAURRI
714 TIVERTON AVE
LOS ANGELES, CA 90095-8361
Phone number: 310-825-9789
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Mailing Address
LUIS VIDAURRI
3588 TORREY VIEW CT
SAN DIEGO, CA 92130-2635
Phone number:
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