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1396100913
GENESIS DESIREE MEDINA
SANTA ANA, CA
NPI
1396100913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95059860)
Enumeration Date
2015-12-25
Last Update Date
2015-12-25
Business Address
-- GENESIS DESIREE MEDINA BSN, RN, PHN
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 855-886-5400
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Mailing Address
-- GENESIS DESIREE MEDINA BSN, RN, PHN
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number:
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