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1265626113
BRUCE PARKS
SAN DIEGO, CA
NPI
1265626113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 194917)
Enumeration Date
2007-09-04
Last Update Date
2007-09-04
Business Address
Mr. BRUCE PARKS LVN
600 B ST 1580
SAN DIEGO, CA 92101-4520
Phone number: 619-916-0439
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Mailing Address
Mr. BRUCE PARKS LVN
600 B ST 1580
SAN DIEGO, CA 92101-4520
Phone number: 619-916-0439
Copy
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