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1508461294
JAN MICHAEL DUCUSIN LOPEZ
SANTA ANA, CA
NPI
1508461294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95124236)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
-- JAN MICHAEL DUCUSIN LOPEZ
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-935-6804
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Mailing Address
-- JAN MICHAEL DUCUSIN LOPEZ
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number:
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