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1891012886
MARVYN IVAN PEREZ
NORTHRIDGE, CA
NPI
1891012886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-04-29
Last Update Date
2015-06-10
Business Address
Dr. MARVYN IVAN PEREZ
7732 JELLICO AVE
NORTHRIDGE, CA 91325-4510
Phone number: 818-277-1880
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Mailing Address
Dr. MARVYN IVAN PEREZ
7732 JELLICO AVE
NORTHRIDGE, CA 91325-4510
Phone number: 818-277-1880
Copy
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