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Individual

DWIGHT F MCGREGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
24930 WESTERN AVE, HARBOR CITY, CA 90710-2029
(310) 891-1264
Mailing address
5740 W CENTINELA AVE APT 409, LOS ANGELES, CA 90045-8819
(424) 224-0127

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693996
CA

Other

Enumeration date
04/04/2023
Last updated
04/04/2023
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