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1396344644
LEILANI ANGELO CASINO
TUSTIN, CA
NPI
1396344644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95015679)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
LEILANI ANGELO CASINO
17612 17TH ST
TUSTIN, CA 92780-1962
Phone number: 714-243-5450
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Mailing Address
LEILANI ANGELO CASINO
17612 17TH ST
TUSTIN, CA 92780-1962
Phone number:
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