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1174001580
RICHARD BRUCE CHAFFEE
COSTA MESA, CA
NPI
1174001580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 684210)
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
RICHARD BRUCE CHAFFEE RN
590 TRAVERSE DR
COSTA MESA, CA 92626-3117
Phone number: 714-559-9171
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Mailing Address
RICHARD BRUCE CHAFFEE RN
151 KALMUS DR STE 220
COSTA MESA, CA 92626-5988
Phone number: 714-559-9171
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