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1386862068
GUILLERMO BEENE VICENCIO
SANTA ANA, CA
NPI
1386862068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN223287)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mr. GUILLERMO BEENE VICENCIO LVN
1615 FRENCH ST
SANTA ANA, CA 92701-2475
Phone number: 714-824-8140
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Mailing Address
Mr. GUILLERMO BEENE VICENCIO LVN
1015 KENT DR
SAN DIMAS, CA 91773-4611
Phone number: 909-962-5014
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