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1306619119
MARIO CARRANCHO ENCARNACION
EL CAJON, CA
NPI
1306619119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0400X Registered Nurse, Rehabilitation
(Licence: CA RN95338743)
Enumeration Date
2023-11-02
Last Update Date
2023-11-02
Business Address
MARIO CARRANCHO ENCARNACION Registered Nurse
151 CLAYDELLE AVE
EL CAJON, CA 92020-4505
Phone number: 619-252-8848
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Mailing Address
MARIO CARRANCHO ENCARNACION Registered Nurse
11085 BOOTES ST
SAN DIEGO, CA 92126-1907
Phone number: 858-275-4569
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