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1932852456
BRENT CORDOVA
LOS ANGELES, CA
NPI
1932852456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 536523)
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
BRENT CORDOVA
1711 W TEMPLE ST
LOS ANGELES, CA 90026-7329
Phone number: 213-989-6100
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Mailing Address
BRENT CORDOVA
1711 W TEMPLE ST
LOS ANGELES, CA 90026-7329
Phone number: 213-989-6100
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