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1043862105
MIRENA PETROUS
SAN JOSE, CA
NPI
1043862105
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Other Name
IRENA PETROUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA 95159089)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
MIRENA PETROUS RN
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
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Mailing Address
MIRENA PETROUS RN
4201 SUZANNE DR
PALO ALTO, CA 94306-4336
Phone number: 917-494-7477
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