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Individual

MR. PETER NABILE AWAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16038 SPRINGDALE ST APT D7, HUNTINGTON BEACH, CA 92649-1770
(562) 303-6653
Mailing address
16038 SPRINGDALE ST APT D7, HUNTINGTON BEACH, CA 92649-1770
(562) 303-6653

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D6124591
CA

Other

Enumeration date
06/16/2013
Last updated
06/16/2013
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