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1871702456
TERESA KANIS VENCILL
WEST HOLLYWOOD, CA
NPI
1871702456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 9205530)
Enumeration Date
2007-05-21
Last Update Date
2014-09-26
Business Address
Mrs. TERESA KANIS VENCILL ARNP
8700 BEVERLY BLVD MARK TAPER IMAGING #1258
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-877-6686
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Mailing Address
Mrs. TERESA KANIS VENCILL ARNP
7838 W MANCHESTER AVE APT # 6
PLAYA DEL REY, CA 90293-8429
Phone number:
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