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1326653056
DECEMBER LORAINE SHORE
COSTA MESA, CA
NPI
1326653056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95177107)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
DECEMBER LORAINE SHORE RN
301 VICTORIA ST
COSTA MESA, CA 92627-7131
Phone number: 949-642-2734
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Mailing Address
DECEMBER LORAINE SHORE RN
5800 SOUTH ST APT 173
LAKEWOOD, CA 90713-1332
Phone number: 562-340-1314
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