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1245876457
DAVE MAXWELL
ROSEVILLE, CA
NPI
1245876457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 161917)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
DAVE MAXWELL
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
DAVE MAXWELL
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0360
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