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1174174395
JERRY BUSCANO CONDE
EUREKA, CA
NPI
1174174395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 715983)
Enumeration Date
2019-09-28
Last Update Date
2019-11-04
Business Address
JERRY BUSCANO CONDE RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
JERRY BUSCANO CONDE RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number:
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