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1457646655
JORDAN FASANO
TEMECULA, CA
NPI
1457646655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 257921)
Enumeration Date
2011-06-15
Last Update Date
2011-06-15
Business Address
Mr. JORDAN FASANO LVN
31269 MANGROVE DR.
TEMECULA, CA 92592
Phone number: 858-337-4122
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Mailing Address
Mr. JORDAN FASANO LVN
31269 MANGROVE DR
TEMECULA, CA 92592
Phone number: 858-337-4122
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