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1083462212
BRYAN OMAR MALDONADO
FRESNO, CA
NPI
1083462212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 740898)
Enumeration Date
2024-05-13
Last Update Date
2024-05-19
Business Address
BRYAN OMAR MALDONADO LVN
539 N VAN NESS AVE
FRESNO, CA 93728-3419
Phone number: 559-266-9581
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Mailing Address
BRYAN OMAR MALDONADO LVN
539 N VAN NESS AVE
FRESNO, CA 93728-3419
Phone number: 559-266-9581
Copy
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