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1114162617
DANIEL READE LAZARUS
EUREKA, CA
NPI
1114162617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 731036)
Enumeration Date
2008-12-11
Last Update Date
2008-12-11
Business Address
Mr. DANIEL READE LAZARUS R.N.
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
Mr. DANIEL READE LAZARUS R.N.
1121 S DORA ST APT. F
UKIAH, CA 95482-8327
Phone number: 707-468-8004
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