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1831592419
BETHANY MAYOR-GOMEZ
LOS ANGELES, CA
NPI
1831592419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95001177)
Enumeration Date
2014-09-26
Last Update Date
2015-04-30
Business Address
-- BETHANY MAYOR-GOMEZ FNP-C
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029-1977
Phone number: 323-953-7170
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Mailing Address
-- BETHANY MAYOR-GOMEZ FNP-C
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029-1977
Phone number: 323-953-7170
Copy
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