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1992192637
JOSE GUILLEN
LOS ANGELES, CA
NPI
1992192637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95001648)
Enumeration Date
2015-04-21
Last Update Date
2015-04-21
Business Address
-- JOSE GUILLEN
1670 E 120TH ST
LOS ANGELES, CA 90059-3026
Phone number: 424-338-2231
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Mailing Address
-- JOSE GUILLEN
10161 ORR AND DAY RD
SANTA FE SPRINGS, CA 90670-3508
Phone number: 323-559-1226
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