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1124763164
JAY SANTILLANA LARDIZABAL
EASTVALE, CA
NPI
1124763164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA F04220387)
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
Mr. JAY SANTILLANA LARDIZABAL MSN, APRN, FNP-C
6595 CANTATA DR
EASTVALE, CA 92880-4534
Phone number: 951-987-1133
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Mailing Address
Mr. JAY SANTILLANA LARDIZABAL MSN, APRN, FNP-C
6595 CANTATA DR
EASTVALE, CA 92880-4534
Phone number: 951-987-1133
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