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1922306042
EDGAR BURQUEZ
LYNWOOD, CA
NPI
1922306042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA21504)
Enumeration Date
2011-03-14
Last Update Date
2011-03-14
Business Address
Mr. EDGAR BURQUEZ P.A.
3550 LOS FLORES BLVD APT. 12
LYNWOOD, CA 90262-2619
Phone number: 310-991-9252
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Mailing Address
Mr. EDGAR BURQUEZ P.A.
3550 LOS FLORES BLVD APT. 12
LYNWOOD, CA 90262-2619
Phone number: 310-991-9252
Copy
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