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Organization
LVN MEDICAL
Active
Organization
LVN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN R DURAN LVN (OWNER)
(619) 253-6514
Entity
Organization
Contact information
Practice address
1127 MANZANA WAY, SAN DIEGO, CA 92139-1438
(619) 253-6514
(619) 568-3585
Mailing address
1127 MANZANA WAY, SAN DIEGO, CA 92139-1438
(619) 253-6514
(619) 568-3585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
B2009003649
CA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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