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1912534033
ANTHONY FELIPE BANUELOS VILLA
LOS ANGELES, CA
NPI
1912534033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014143)
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
Mr. ANTHONY FELIPE BANUELOS VILLA FNP
3437 ELLISON ST
LOS ANGELES, CA 90063-1901
Phone number: 626-375-5566
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Mailing Address
Mr. ANTHONY FELIPE BANUELOS VILLA FNP
3437 ELLISON ST
LOS ANGELES, CA 90063-1901
Phone number: 626-375-5566
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