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1073152583
WAYNE ANDREW DAVIS
COSTA MESA, CA
NPI
1073152583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 749489)
Enumeration Date
2019-12-31
Last Update Date
2021-06-03
Business Address
WAYNE ANDREW DAVIS
301 VICTORIA ST
COSTA MESA, CA 92627-7131
Phone number: 949-642-2734
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Mailing Address
WAYNE ANDREW DAVIS
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-642-2734
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