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1154820660
CRAIG SUNDANCE DESATOFF
SAN DIEGO, CA
NPI
1154820660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 257231)
Enumeration Date
2018-02-09
Last Update Date
2018-02-09
Business Address
CRAIG SUNDANCE DESATOFF Lvn
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 619-232-4357
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Mailing Address
CRAIG SUNDANCE DESATOFF Lvn
32164 EVENING PRIMROSE TRL
CAMPO, CA 91906-3158
Phone number: 619-572-4715
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