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1013428598
PATRICK CHANNITA
SANTA ANA, CA
NPI
1013428598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 256314)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
PATRICK CHANNITA LVN
34 CIVIC CENTER PLZ
SANTA ANA, CA 92701-4090
Phone number: 714-834-4817
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Mailing Address
PATRICK CHANNITA LVN
12331 LORALEEN ST
GARDEN GROVE, CA 92841-3600
Phone number: 714-342-5796
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