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1457629180
JAYZON BELENO BANEZ
COSTA MESA, CA
NPI
1457629180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 212080)
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
Mr. JAYZON BELENO BANEZ lvn
2775 MESA VERDE DR E APT H207
COSTA MESA, CA 92626-4985
Phone number: 714-270-1982
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Mailing Address
Mr. JAYZON BELENO BANEZ lvn
2775 MESA VERDE DR E APT H207
COSTA MESA, CA 92626-4985
Phone number: 714-270-1982
Copy
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