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1275112823
BAN IAN POLE BITONG PALOGAN
SANTA ANA, CA
NPI
1275112823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA RN95176566)
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
Mr. BAN IAN POLE BITONG PALOGAN RN, BSN
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-834-5974
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Mailing Address
Mr. BAN IAN POLE BITONG PALOGAN RN, BSN
18592 WOODWIND LN
ANAHEIM, CA 92807-1108
Phone number: 510-361-7526
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