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1932883030
DAISY BANUELOS
LOS ANGELES, CA
NPI
1932883030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95025288)
Enumeration Date
2023-06-12
Last Update Date
2023-06-22
Business Address
DAISY BANUELOS
1605 EASTLAKE AVE
LOS ANGELES, CA 90033-1009
Phone number: 323-226-8611
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Mailing Address
DAISY BANUELOS
2648 E WORKMAN AVE # 3001-304
WEST COVINA, CA 91791-1604
Phone number:
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