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1871266890
ISMAEL TABLIGAN GESTOPA
GLENDALE, CA
NPI
1871266890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
ISMAEL TABLIGAN GESTOPA
605 W BROADWAY
GLENDALE, CA 91204-1007
Phone number: 818-246-7174
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Mailing Address
ISMAEL TABLIGAN GESTOPA
2403 RIVERDALE AVE
LOS ANGELES, CA 90031-1134
Phone number: 323-568-9926
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