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1275661456
JOSE LIRA CARRANZA
SAN DIEGO, CA
NPI
1275661456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: CA 695626)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- JOSE LIRA CARRANZA
3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
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Mailing Address
-- JOSE LIRA CARRANZA
2635 MADISON ST APT 19
CARLSBAD, CA 92008-1739
Phone number:
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