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1952992463
MIGUEL SANTIAGO GONZALEZ MANCERA
WEST HOLLYWOOD, CA
NPI
1952992463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA PTL5076)
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
MIGUEL SANTIAGO GONZALEZ MANCERA MD
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-3277
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Mailing Address
MIGUEL SANTIAGO GONZALEZ MANCERA MD
5200 WILSHIRE BLVD APT 328
LOS ANGELES, CA 90036-4693
Phone number: 786-757-3384
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