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1467016840
EDWARD HENRY MIQUE
CAMPBELL, CA
NPI
1467016840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 703373)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
EDWARD HENRY MIQUE LVN
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-379-3790
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Mailing Address
EDWARD HENRY MIQUE LVN
1760 WILLOW LAKE LN
SAN JOSE, CA 95131-3544
Phone number: 408-890-9681
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