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1285324061
JAMES VANDERBILT
FORT BLISS, TX
NPI
1285324061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: CA 723689)
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
JAMES VANDERBILT
11153 LUKE ST
FORT BLISS, TX 79918-8010
Phone number: 714-369-4727
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Mailing Address
JAMES VANDERBILT
333 W BROADWAY UNIT 1896
ANAHEIM, CA 92815-2088
Phone number: 171-436-9472
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