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1316763949
THERESA ANN MICKLES
ORANGE, CA
NPI
1316763949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95289348)
Enumeration Date
2024-11-27
Last Update Date
2024-11-27
Business Address
THERESA ANN MICKLES
265 S ANITA DR STE 102-104
ORANGE, CA 92868-3355
Phone number: 714-410-3500
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Mailing Address
THERESA ANN MICKLES
265 S ANITA DR STE 102-104
ORANGE, CA 92868-3355
Phone number: 714-410-3500
Copy
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