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1033477724
JOSE MANUEL CARRENO
SANTA ROSA, CA
NPI
1033477724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 776861)
Enumeration Date
2012-05-01
Last Update Date
2014-06-27
Business Address
-- JOSE MANUEL CARRENO
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-4935
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Mailing Address
-- JOSE MANUEL CARRENO
3913 NEW ZEALAND AVE
SANTA ROSA, CA 95407-2527
Phone number:
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