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1275932477
SUSAN TAVITAS
CORONA, CA
NPI
1275932477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QC1500X Clinic/Center, Community Health
(Licence: CA vn 166898)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- SUSAN TAVITAS Licensed Nurse
7440 MARILYN DR
CORONA, CA 92881-4226
Phone number: 714-488-9091
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Mailing Address
-- SUSAN TAVITAS Licensed Nurse
7440 MARILYN DR
CORONA, CA 92881-4226
Phone number: 714-488-9091
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