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1033530076
MARK MIJARES
FAIRFIELD, CA
NPI
1033530076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 849123)
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
-- MARK MIJARES
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-650-3000
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Mailing Address
-- MARK MIJARES
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-650-3000
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