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Individual

CARLOS R DUARTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5901 E 7TH ST, PROSTHETICS, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
11111 ELM ST, LYNWOOD, CA 90262-2905
(310) 902-5162

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N/A
GOVERMENT
Enumeration date
07/30/2008
Last updated
08/07/2008
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