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1528452778
JOSE DESTAJO
SYLMAR, CA
NPI
1528452778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 745368)
Enumeration Date
2015-03-25
Last Update Date
2022-11-01
Business Address
Mr. JOSE DESTAJO RN
14238 SARANAC LN
SYLMAR, CA 91342-1435
Phone number: 818-485-0888
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Mailing Address
Mr. JOSE DESTAJO RN
9938 SWINTON AVE
NORTH HILLS, CA 91343-1328
Phone number: 818-634-1077
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