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1295501526
MICHAEL PENILLA
SAN DIEGO, CA
NPI
1295501526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN685275)
Enumeration Date
2023-11-28
Last Update Date
2023-11-29
Business Address
Mr. MICHAEL PENILLA LVN
8898 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123-1147
Phone number: 619-966-3389
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Mailing Address
Mr. MICHAEL PENILLA LVN
3136 MASSACHUSETTS AVE
LEMON GROVE, CA 91945-2227
Phone number: 619-786-4206
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