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1184187841
MALAKAI JEREMIAH BUBAN
SAN DIEGO, CA
NPI
1184187841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: CA 95184495)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
MALAKAI JEREMIAH BUBAN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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Mailing Address
MALAKAI JEREMIAH BUBAN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Copy
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