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1205674876
LAWRENCE SISTOSO
COSTA MESA, CA
NPI
1205674876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95370501)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
Mr. LAWRENCE SISTOSO RN
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-642-2734
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Mailing Address
Mr. LAWRENCE SISTOSO RN
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-642-2734
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