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1497388763
EDWARD LUSUNG MENDOZA
FAIRFIELD, CA
NPI
1497388763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN708998)
Enumeration Date
2020-02-14
Last Update Date
2020-02-14
Business Address
Mr. EDWARD LUSUNG MENDOZA LVN
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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Mailing Address
Mr. EDWARD LUSUNG MENDOZA LVN
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number:
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