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1265930846
IVAN MACIAS
OCEANSIDE, CA
NPI
1265930846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95120899)
Enumeration Date
2018-01-29
Last Update Date
2018-03-13
Business Address
IVAN MACIAS
1320 UNION PLAZA CT
OCEANSIDE, CA 92054-5659
Phone number: 000-000-0000
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Mailing Address
IVAN MACIAS
1320 PLAZA UNION CT
OCEANSIDE, CA 92054-4105
Phone number:
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