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1992468623
EDGAR LEONARDO FARIAS
LOS ANGELES, CA
NPI
1992468623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-10-19
Last Update Date
2023-04-03
Business Address
EDGAR LEONARDO FARIAS
1414 E FLORENCE AVE
LOS ANGELES, CA 90001-1937
Phone number: 323-588-1383
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Mailing Address
EDGAR LEONARDO FARIAS
2110 E GAGE AVE APT C
HUNTINGTON PARK, CA 90255-3548
Phone number:
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