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1104546332
BRIANNA VIDALES
SANTA ANA, CA
NPI
1104546332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 702876)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
BRIANNA VIDALES LVN
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-345-5414
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Mailing Address
BRIANNA VIDALES LVN
22590 MOUNTAIN AVE
PERRIS, CA 92570-9323
Phone number:
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